Great case highlighting utility of metanephrines with AVS in a patient with PA and hypercortisolism (MACS). Traditional AVS uses the aldo:cortisol ratio which is confounded if an adenoma co-secretes cortisol. tinyurl.com/yvhwpt75 @bhallaresearch.bsky.social Always check 1mg DST in PA+adenoma!

How should we measure BP for inpatients? Some consensus criteria and actual measurements from Australia

Please consider joining me on Friday, Apr 10 at 3PM EST for this webinar on Simplifying the Approach to Primary Aldosteronism. #nephsky #htn www.labroots.com/webinar/simp...

As we suspected Thiazide induced hyponatremia is more seen in older women JNO analysis from Sweden jamanetwork.com/journals/jam...

Re-Defining Primary Aldosteronism authors.elsevier.com/a/1mqFw2d9GI... @jaccjournals.bsky.social #JACC

Please consider joining me on Friday, Apr 10 at 3PM EST for this webinar on Simplifying the Approach to Primary Aldosteronism. #nephsky #htn www.labroots.com/webinar/simp...

Practical suggestions for the diagnosis and management of hypertension before, during, and after the start of anticancer therapy #ISNWCN 🇯🇵 #WCN26 🇯🇵 #WCN2026 🇯🇵 #Onconephrology 🦀 #Nephpearls #NephSky 👉 pubmed.ncbi.nlm.nih.gov/36621810/

Very nice review reiterating that beta-blockers should not be used as a first-line antihypertensive (outside of select cardiac comorbidities). #nephsky #htn www.ahajournals.org/doi/10.1161/...

Use of auto BP devices is rec'd by guidelines but many still measure BP manually. In this preprint, we categorize BP device based on terminal digit (manual BP results in even # terminal digits). Manual BP ~6mmHg lower and associated with 1.16x stroke risk vs automated www.medrxiv.org/content/10.6...

Excellent overview in The Washington Post on the systemic impact of sustained hypertension — from LVH to CKD and cognitive decline. Kudos to Drs. @drwanpen.bsky.social , John B, and @jordybc.bsky.social for evidence base insight. 🔗 www.washingtonpost.com/wellness/202... #Hypertension #Cardiology

Think I just had a pt with olmesartan enteropathy Yall seeing this? I’ve mostly moved away to tel, irb but have a fair number of legacy pts #medsky #cardiosky #nephsky

🧠 Dr. Vaidya’s @anandvaidya17.bsky.social practical approach to primary aldo, distilled into one clean, clinic-ready infographic: This is high-yield, no-fluff, practice-changing stuff.

New! 🎙️🩺🎧 #515 Primary Aldosteronism, A Deep Dive: Easy on the Salt! 🧂⬇️ Hypertension is everywhere and primary aldosteronism is a common (and often missed 👀) cause. Join us with @anandvaidya17.bsky.social of Brigham and Women’s Hospital

Very practical UK Kidney Association guidelines for management of BP in Dialysis www.kireports.org/article/S246... KI Reports

sweet A @asnpublications.bsky.social perspective argues we need a Spironolactone versus nsMRA head:head trial! journals.lww.com/jasn/pages/a... Bring it on! #NephSky #SpiroStans rejoice

Excited to share our research letter published today in JAMA on the new Apple Watch Hypertension Notification Feature! jamanetwork.com/journals/jam... 1/n

Thank you @asnpublications.bsky.social for posting our paper on the transformation of venous to arterial blood gas. To facilitate calculations, I developed an App “Venous to Arterial Blood Gas” available for free (apps.apple.com/us/app/venou...) @nu-nephrology.bsky.social @feinberg.northwestern.edu

As guidelines rec more Aldo/renin testing in htn, wondering whats labs role to ensure/capture details on relevant factors (timing, Na restriction, meds, KP)? Should labs rec pts test in more standardized conditions, log key details or just do it-clinicians duty to sort out? @askrenal.bsky.social

Excited to share our thoughts on the Apple Watch Hypertension alert! @jordybc.bsky.social @deanpicone.bsky.social @alta-schutte.bsky.social Apple Watch for Hypertension Screening | Hypertension www.ahajournals.org/doi/10.1161/...

Cuffless BP review with @farahwehbe92.bsky.social - incoming HT fellow in Ottawa, with tables, and details of technology, devices and ongoing trials pubmed.ncbi.nlm.nih.gov/41460057/ thanks to @profdg.bsky.social for the invite!

Dan Batlle & I wrote about testing for primary aldosteronism, bringing a critical lens to the usual approach www.ahajournals.org/doi/full/10....

🚨 Fresh Hypertension Guidelines Alert 🚨 Don’t get caught treating high blood pressure like it’s 2024 👀 
In Episode #509, West Philly doc Dr. Jordy Cohen @jordybc.bsky.social keeps our hypertension management fresh with a clear walk-through of the new HTN guidelines & more! www.thecurbsiders.com

AHA Scientific Statement on Single-Pill Combination Therapy www.ahajournals.org/doi/10.1161/... #Nephsky

If you are interested in hypertension training and research, check out our hypertension fellowship. research.bidmc.org/medicine-gme...

Happy to contribute to this important statement @ahascience.bsky.social on cuffless devices led by @jordybc.bsky.social ! Cuffless Devices for the Measurement of Blood Pressure: A Scientific Statement From the American Heart Association | Hypertension ahajournals.org/doi/10.1161/...

"Older and Black participants had higher aldo-to-renin ratio...and women had higher aldo levels than men across the lifespan. With newly expanded indications for PA testing, a greater appreciation of the influence of demographic characteristics will be required." #nephsky tinyurl.com/yc8ryxmu

Our take on the baxdrostat PA trial in @asnpublications.bsky.social #KidneyNews www.kidneynews.org/view/journal... with @nephroseeker.medsky.social and @dramiliflores.bsky.social ! Thanks to Sam Kant and @kdjhaveri.bsky.social for the invite!!

🆕 #NephJCshort by @brianrifkin.bsky.social RETREAT-FRAIL- pragmatic RCT: is less BP medication worse in octogenarians? www.nephjc.com/news/hyperte...

My first month of trying to prescribe fish oil at the dialysis unit has been a total failure Pharmacies arn’t filling scripts and patients can’t find OTC matches to dose prescribed in PISCES Anyone having success on the high seas?

To Treat or Not to Treat? Watchful Waiting or Oral Antihypertensives for Asymptomatic Inpatient Hypertension #nephsky #nephrology www.nejm.org/doi/full/10....

Ahead of #KidneyWk25, we are recruiting a hypertension fellow to the Stanford Hypertension Center for July 2026. Please come find me at ASN. med.stanford.edu/nephrology/e...

Samir Parikh gives an update on lupus nephritis. #KidneyWk Looking for rapid reduction of proteinuria? Voclosporin is faster, but belimumab showed similar separation from placebo, it just takes longer due to mechanism of action.

BaxHTN phase 3 trial: Aldosterone dysregulation is considered a key driver of hard-to-control hypertension. Research findings on baxdrostat, a highly selective, potent aldosterone synthase inhibitor, in hard-to-control hypertension are summarized in a new Quick Take video. nej.md/3KCsQGJ

Donate and represent! #NephJC

Our @ukkidney.org guidelines here in BMC Nephrology. 💯% agree that in-unit BP should ONLY be used for determining safety of individual HD sessions and NOT long-term CV risk modification. But changing practice will be a long haul. link.springer.com/epdf/10.1186...

Subclinical primary aldosteronism is an under-recognized driver of cardiovascular risk. Could it be a new target for CV prevention? Read our Circulation editorial —>

#NephJC is a labor of a passionate volunteer team that believes education should be accessible, no matter where you are from in the world. Even if editorial team donates unlimited hours of sleep, there are still costs to cover 💸 (👇 blog) 😊 Be kind, help us to #NephItForward #Medsky #Nephsky

We are thrilled to announce that we have generously received funding for a one-year hypertension fellowship, and we are recruiting now for a candidate to start fellowship July 1, 2026 . med.stanford.edu/hypertension/e… -Jehan Zahid Bahrainwala HTN Fellowship Program Director

It's that time of year again 🍂🍂🍂 The #NephJC Fall pledge drive. Plese give if you are able to support our decades long mission of #FOAMed for all. #NephSky #MedSky www.nephjc.com/news/2025/9/22/nephjc-fall-pledge-drive

🚨 Survey Alert! Standardized office BP measurements are recommended everywhere, but still underused. We want to hear from you: what are the barriers to using them as a routine in clinical practice? Click here to read the consent form and take the survey: redcap.link/barriers.to....

My guess is at least 500 #doctors at my #hospital are on H1B visas including at least a few dozen #hospitalists, and if we lose even a handful to other countries our house of cards #healthcare system will fall apart, let alone all 500+

Some of my opinions here on @ajkd.bsky.social Blog; ajkdblog.org/2022/01/19/b... The @ahascience.bsky.social also has a scientific statement here from 2023 www.ahajournals.org/doi/full/10.... #NephJC Catch up

Reposting this again - very relevant for #NephJC discussion on the new AHA/ACC guidelines.

❤️Check out the VA for the discussion on the AHA/ACC Hypertension Guidelines 9/16/25 at 9pm EST by @sejalplakhani.bsky.social #NephJC #NephSky #MedSky www.nephjc.com/news/2025/9/ahaacc-htnguide

To accompany the new ACC/AHA BP guidelines, a practical guide on how to test for Primary Aldosteronism: now recommended for most people with hypertension. www.jacc.org/doi/10.1016/...

Confirmatory testing (aldosterone suppression testing) for primary aldosteronism: not reliable, or reproducible, for diagnosis or predicting lateralization. Sensitivity at the expense of specificity, and vice-versa. Time to simplify the process academic.oup.com/ejendo/artic...

Excellent summary of the ACHIEVE trial from @drsaivani.bsky.social & @thekidneywhisperer.bsky.social #NephJC chat tomorrow www.nephjc.com/news/achieve

#WeekendReads from #EditorsChoice Can you have normal looking adrenal glands with primary aldosteronism? 🔗 academic.oup.com/ajh/article/... 🔓

The era of ASIs is slowly dawning www.nejm.org/doi/full/10.... (Yeah spironolactone is just as good and cheaper) Disclosure: we recruited patients for this one