Patients with concurrent heart failure and kidney disease are not getting proper GDMT

We have all seen the story play out before: a patient with heart failure with reduced ejection fraction (HFrEF) who is new to a hospital system is hospitalized for acute decompensated heart failure. A look at their complete metabolic panel shows a Cr of 2.0 mg/dL (with a corresponding eGFR of 35 mL/min/1.73m2), and despite … Read more

What to expect at Joint Hypertension 2018 Scientific Sessions – Treating Hypertension in 2018

Two AHA Councils, the Council on Hypertension and the Council on Kidney in Cardiovascular Disease, have joined forces with the American Society of Hypertension to make Joint Hyptertension 2018 Scientific Sessions (#Hypertension18) among the most impactful. Dr. Karen Griffin, FAHA Vice Chair for the Council on Hypertension Scientific Sessions Planning Committee calls it the “premier scientific … Read more

Chronic Kidney Disease: The Silent Killer

“He felt well, so he didn’t follow up with his doctor.” Our nephrology team was gathering history about a patient who had landed in the Emergency Department with advanced kidney failure and its consequences: confusion, severe anemia, metabolic acidosis, and a high blood potassium threatening to push him into cardiac arrest.  We asked the family: … Read more

Back To Square One: Normal Saline For Prevention Of Contrast-Associated Kidney Injury

I was in medical school when the JAMA paper came out that reported superiority with sodium bicarbonate IV fluids over normal saline in preventing contrast-induced acute kidney injury.  This was a Big Deal.  Kidney injury is associated with prolonged hospital stays and increased risk of death.  I recall carefully making a note of the exact … Read more