Wanpen Vongpatanasin

Thankful for the opportunity to visit Nara Women University with @hkkimphd.bsky.social to observe laboratory of Prof Miki and Yoshimoto who are pioneer in measurements of conscious renal and lumbar SNA recording. Never have my seminar brochure translated into Japanese before 😀 @utswim.bsky.social

Can’t stop staring at the prevalence of hypertension among young people.

www.ahajournals.org/doi/epub/10....

What ‘Secret Shoppers’ Discovered About IV Hydration Spas Researchers posed as potential clients to examine the practices and regulation of the burgeoning intravenous hydration spa industry.

The unregulated and unscrupulous medical hydration spa industry

www.medscape.com/viewarticle/... with @fperrywilson.bsky.social

great HTN JC discussion today on BAXHTN study by Dr. Shawna Nesbitt joined by @dramitkhera.bsky.social @giaconajohn.bsky.social @utswim.bsky.social Interesting that baseline aldosterone in the trial was around 7.5 ng/dL by LCMS with baseline PRA is 1 ng/mlhr. This means that majority of pts have PA

Thank you 🙏

🏆 First time at Epic Cosmos Datathon—our team took 1st place! Grateful for the collaboration and hands on experience ! @drwanpen.bsky.social Excited to present tomorrow (Oct 3) at Pegasus Park Symposium on “Missed Opportunities: Screening for Primary Aldosteronism” #EpicCosmos #HTN

Optimal Treatment of Primary Aldosteronism: Can We Compare Apples to Oranges? Primary aldosteronism (PA) is an endocrine disorder characterized by inappropriate and excessive aldosterone production.1 PA is a prevalent cause of elevat

Comparing Management strategies for Primary Aldosteronism: Is it 🍎 versus 🍊 ?

Commentary academic.oup.com/ajh/article-...

based on
academic.oup.com/ajh/article-...

#Hypertension #Aldosteronism

Reduction of Antihypertensive Treatment in Nursing Home Residents | NEJM Among older adults with frailty, evidence on the benefits and risks of discontinuing antihypertensive drugs is limited. In a multicenter, randomized, controlled trial conducted in France, we assign...

Enough is enough:

RETREAT-FRAIL www.nejm.org/doi/full/10....

OPTIMISE
www.thelancet.com/journals/lan...

DANTON
academic.oup.com/ageing/artic...

No mortality benefit (and potentially harm) from antihypertensive deprescription among frail older adults. Meta-analyze that!

Such a great opportunity, to be involved in an editorial on the most recent evidence for Subclinical Primary Aldosteronism. Thank you to @drwanpen.bsky.social @giaconajohn.bsky.social

Go check it out!! www.ahajournals.org/doi/10.1161/...

Not great Apple, not great
www.accessdata.fda.gov/cdrh_docs/pd...

Our new study that links high Phosphate diet found in processed food and anxiety behavior and alternation of genes involved in mood regulation in mice. That may explain why we don't feel good after a whopper or a big Mac @hkkimphd.bsky.social @utswim.bsky.social sciencedirect.com/science/arti...

My quote of the day

There is a magnet in your heart that will attract true friends. That magnet is unselfishness, thinking of others first; when you learn to live for others, they will live for you.

Paramahansa Yogananda

Some information (still not primary data, more like marketing speak) about the Apple Hypertension detection.

>2,000 adults wore the watch ~12 hours/day for a month and took BID cuff BP; The watch was “as accurate as the cuff” for detecting signs of HTN what ever that is

time.com/7316725/appl...

great HTN journal club discussing GWAS in primary aldosteronism by @jdmosley-moses.bsky.social @giaconajohn.bsky.social www.ahajournals.org/doi/10.1161/...

Inspiring talk by Dr Tom Frieden former director of CDC on the challenges in implementing public health policy emphasizing “Simplification is the ultimate sophistication” and humility in communication to key to success @utswim.bsky.social

Try to find a good reference that describe incidence of impotency related to spironolactone and stumble into this classic article from 1972 by Dr. Carey&Liddle. 3/24 men (12.5%) with low renin HTN had impotency with 400mg/d of aldactone 6wks. pubmed.ncbi.nlm.nih.gov/5082464/
@hswapnil.medsky.social

Remember all the cardiologists whining about Atrial fibrillation with the Apple Watch?

I am sure it has lead to many unnecessary referrals - but also possibly some saves. Surely they didn’t have tsunami of inappropriate referrals right?

Prevalence and Frequency of Self-measured Blood Pressure Monitoring in US Adults This survey study investigates the prevalence, frequency, and factors associated with self-measured blood pressure monitoring among adults ages 50 to 80 years.

But it may still be useful as < 50% of adults age 50-80 monitor home BP regularly and only 62% were recommended by their PCP to check BP . This may be another reason for consumers to check BP with other devices jamanetwork.com/journals/jam...

To me, It sounds like a PPG sensor analyzing the pulse transit time "Apple Watch use data from the optical heart sensor to analyze how a user’s blood vessels respond to the beats of the heart. The algorithm works passively in the background reviewing data".

High Blood Pressure in Childhood and Premature Cardiovascular Disease Mortality
jamanetwork.com/journals/jam...
#medsky #pedsky #hypertension

@tbplante.bsky.social

It drew a lot of audience engagement - great session for the last day!!!

Nonadherence is common, especially among those prescribed multiple medications.
@ahascience.bsky.social

Great abstract by Sahoo showing device required XL cuff is found in 8 million US adults but unfortunately it cost 25% more diameter should be measured midway between acromion and olecranon at arm 90% angle with palm up Jennifer Cluett @spjuraschek.bsky.social Tammy Brady

Brillian undergraduate, Sumit Sahoo, presents on disparities in BP device pricing for individuals with larger arm circumference
@ahascience.bsky.social

Great debate on how to measure accurately vs efficiently by Phil Levy vs Tim Plante #Hypertension25 @spjuraschek.bsky.social

So much fun AHA #Hypertension25 gala dinner learning history of HTN from Bill Cushman and visiting with friends @anastasiasmihaili.bsky.social @giaconajohn.bsky.social @spjuraschek.bsky.social

Very Good sessions kudos to you!

@giaconajohn.bsky.social excellent talk highlights that intensive lowering of BP leads to lower not higher risk of OH based on metaanalysis of RCT by @spjuraschek.bsky.social #Hypertension25 Rx should be titrated to seated BP in OH as per 2025 high BP guidelines

Hypertension treatment improves cerebral blood flow
@ahascience.bsky.social