Stephen P Juraschek, MD, PhD, FAHA, AHSCP-CHS
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spjuraschek.bsky.social
Stephen P Juraschek, MD, PhD, FAHA, AHSCP-CHS
@spjuraschek.bsky.social
890 followers 440 following 350 posts
Internist, hypertension specialist, epidemiologist, and trialist interest in healthy food access, sodium, heart disease, blood pressure regulation, and gout
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spjuraschek.bsky.social
Nice summary of our trial from @hsph.harvard.edu!

hsph.harvard.edu/news/low-sod...
Low-sodium grocery deliveries could improve blood pressure for residents of food deserts | Harvard T.H. Chan School of Public Health
At the end of the clinical trial, participants who received home-delivered groceries saw drops in blood pressure and LDL cholesterol.
hsph.harvard.edu
November 14, 2025 at 11:28 AM
spjuraschek.bsky.social
Love reading quotes from @mingyuzhang.bsky.social in CNN!

www.cnn.com/2025/11/12/h...
High blood pressure isn’t just a problem for adults. Rates in children have nearly doubled in 20 years | CNN
Hypertension in childhood increases risk for heart disease later on. Now, a new study shows that high blood pressure in children is on the rise.
www.cnn.com
November 13, 2025 at 12:01 AM
spjuraschek.bsky.social
Nice coverage of our work!

www.statnews.com/2025/11/10/a...
At AHA meeting, CRISPR data gleamed but 'food as medicine' spoke to the now
At the American Heart Association meeting, CRISPR data gleamed but "food as medicine" spoke to the now.
www.statnews.com
November 11, 2025 at 1:55 AM
spjuraschek.bsky.social
Delighted to share the main findings of GoFresh, a tremendous community effort! I'm incredibly grateful to our participants. More coming soon with our GoFreshRx trial (treated hypertension)!

DASH-Patterned Groceries and Effects on Blood Pressure jamanetwork.com/journals/jam...
DASH-Patterned Groceries and Effects on Blood Pressure
This randomized clinical trial investigates the effect of home-delivered Dietary Approaches to Stop Hypertension (DASH) low-sodium groceries on blood pressure among Black adults in communities with fe...
jamanetwork.com
November 10, 2025 at 12:05 PM
spjuraschek.bsky.social
Some coverage of our work:

www.healio.com/news/cardiol...
Low-sodium grocery deliveries could help tackle hypertension in food deserts
NEW ORLEANS — Free home-delivered groceries tailored to the low-sodium Dietary Approaches to Stop Hypertension diet improved blood pressure among Black residents with high BP and limited grocery...
www.healio.com
November 10, 2025 at 10:34 AM
spjuraschek.bsky.social
Congratulations to the AHA distinguished scientists!
#AHA25 @ahascience.bsky.social
November 8, 2025 at 2:14 PM
spjuraschek.bsky.social
I feel like I am increasingly in two zoom meetings at once...I found a way to arrange my headphones to listen to both, but I do find it difficult to focus on content at the same time (impossible to contribute simultaneously).

Any tips out there?
October 23, 2025 at 12:39 PM
spjuraschek.bsky.social
Please fill out this 10-minute survey from colleagues of Hypertension Canada on the standardized BP procedure.

redcap.link/barriers.to....

Feel free to fill out a survey for each clinical site where you measure BP in an outpatient setting.
Language
redcap.link
October 23, 2025 at 10:21 AM
Reposted by Stephen P Juraschek, MD, PhD, FAHA, AHSCP-CHS
ishbp.bsky.social
What are the benefits of joining the ISH?

Dean Picone from Australia gives his perspective on what ISH membership has meant to him.

Find out more about ISH membership options: ish-world.com/join-ish
October 13, 2025 at 2:58 PM
Reposted by Stephen P Juraschek, MD, PhD, FAHA, AHSCP-CHS
ishbp.bsky.social
The 22nd International Scientific Sessions of the Inter-American Society of Hypertension (IASH) take place from 15 to 17 January 2026 in Guatemala City, Guatemala.

Abstract submission is open until 31 October 2025.

Find out more: iashonline.org/iash-abstrac...
October 7, 2025 at 6:07 PM
spjuraschek.bsky.social
Important paper addresses how frequently should home BP monitoring be performed. They concluded every 12-months...I'm kind of a 6-month person myself if people are stable (aligned with semiannual monitoring), but monthly when titrating...thoughts?

journals.lww.com/jhypertensio...
journals.lww.com
October 4, 2025 at 1:33 PM
spjuraschek.bsky.social
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!
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...
www.nejm.org
October 1, 2025 at 9:45 AM
Reposted by Stephen P Juraschek, MD, PhD, FAHA, AHSCP-CHS
ishbp.bsky.social
The ISH was very sad to learn of the death of Professor Graham MacGregor, an outstanding physician, hypertension researcher and tenacious public health advocate.

Graham was winner of the ISH’s most prestigious award in 2010.

Read more: ish-world.com/latest-news-...
September 30, 2025 at 7:47 AM
Reposted by Stephen P Juraschek, MD, PhD, FAHA, AHSCP-CHS
hswapnil.medsky.social
Another vitamin D trial in AKI this time, and it still does not do much 😏
castltrastondrs.bsky.social TRAstonDrs @castltrastondrs.bsky.social · Sep 27
#Medsky🧪 #Immunosky #nephsky #publichealth the study found that treatment with either calcifediol or calcitriol did not significantly reduce #acutekidneyinjury (AKI) in critically ill adults, despite the activated forms of vitamin D upregulating relevant gene pathways.
JCI Insight - Randomized trial of activated vitamin D for acute kidney injury prevention in critically ill patients
insight.jci.org
September 27, 2025 at 8:55 PM
Reposted by Stephen P Juraschek, MD, PhD, FAHA, AHSCP-CHS
hswapnil.medsky.social
More in this PDF from 🍎 confirming the 41%

www.apple.com/health/pdf/H...

HT @drjmluther.bsky.social and @erictopol.bsky.social
Setup Table of sensitivity and specificity
September 24, 2025 at 12:04 PM
spjuraschek.bsky.social
Neat study using spices/herbs to promote healthier food choices.

journals.sagepub.com/doi/10.1177/...
Culinary Medicine Program Using Herbs and Spices to Increase Vegetable Consumption Among Adults with Hypertension: A Randomized Controlled Feasibility Study - Michelle Alcorn, Allison Childress, Wasiu...
Purpose Unhealthy diets contribute to hypertension. Culinary medicine (CM) combines cooking skills with medical science to improve eating behavior. This study a...
journals.sagepub.com
September 20, 2025 at 8:26 PM
spjuraschek.bsky.social
Sleep BP (or should I say SUPINE blood pressure) is associated with cognitive impairment in this cool pilot study.

doi.org/10.1093/ajh/...
Validate User
doi.org
September 20, 2025 at 1:20 PM
spjuraschek.bsky.social
Really nice statement from the Thai Hypertension Society!

2025 Thai Hypertension Society Guidance for Ambulatory Blood Pressure Monitoring in Adults - Wanthong - 2025 - The Journal of Clinical Hypertension - Wiley Online Library onlinelibrary.wiley.com/doi/10.1111/...
onlinelibrary.wiley.com
September 20, 2025 at 1:15 PM
spjuraschek.bsky.social
Neat study showing that different patterns of hypertension response to exercise are associated with cardiovascular disease events.

www.ahajournals.org/doi/10.1161/...
Evaluating Blood Pressure Response Patterns to Exercise Stress Testing | Hypertension
BACKGROUND: A hypertensive response to exercise unmasks hypertension and is associated with future cardiovascular events. Yet, there is heterogeneity in blood pressure response patterns to exercise by...
www.ahajournals.org
September 18, 2025 at 9:55 PM
spjuraschek.bsky.social
Thank you for featuring our work!
ishbp.bsky.social International Society of Hypertension @ishbp.bsky.social · Sep 16
Supine hypertension: an overlooked marker of cardiovascular risk?

Read article by @spjuraschek.bsky.social and Doc M Giao in the latest edition of Hypertension News.

Read today: ish-world.com/ish-hyperten...
September 16, 2025 at 4:17 PM
spjuraschek.bsky.social
This is a fabulous award! I strongly encourage people to apply!

prevention.nih.gov/news-events/...
prevention.nih.gov
September 16, 2025 at 3:08 PM
spjuraschek.bsky.social
Excited to share our GoFresh late-breaking trial results at
@ahascience.bsky.social in New Orleans!!!
September 11, 2025 at 9:44 PM
spjuraschek.bsky.social
How good is the song "Golden" to get ready for a presentation?!? Top favorite right now!
September 10, 2025 at 11:08 AM
Reposted by Stephen P Juraschek, MD, PhD, FAHA, AHSCP-CHS
hswapnil.medsky.social
The new ⌚️ will have hypertensive notifications

This doesn’t seem like a cuffless BP - but more like a notification ‘you may have hypertension, go check your BP’ ?

From www.apple.com/newsroom/202...

@jordybc.bsky.social @drwanpen.bsky.social @spjuraschek.bsky.social @daichishimbo.bsky.social?
Hypertension Notifications Building on its suite of advanced health features, Apple Watch Series 11 introduces groundbreaking hypertension notifications, which can alert users if signs of chronic high blood pressure — or hypertension — are detected.5 Hypertension is the leading modifiable risk factor for heart attack, stroke, and kidney disease, and impacts approximately 1.3 billion adults globally. It is frequently undiagnosed because it often has no symptoms, many people do not see a doctor regularly, and even during a clinical visit, it can be easily missed with a single measurement. Hypertension notifications on 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 over 30-day periods, and will notify users if it detects consistent signs of hypertension. These notifications provide users with valuable insights into their health as it relates to this widespread condition simply by wearing their Apple Watch, so they can begin making potentially lifesaving behavioral changes, or start treatment to reduce their risk of serious, long-term health events. Replay video: Apple Watch Series 11 Hypertension Notifications Hypertension notifications use data from the optical heart sensor on Apple Watch to analyze how a user’s blood vessels respond to the beats of the heart. Like all of Apple’s health features, hypertension notifications are grounded in rigorous scientific validation. The feature was developed with advanced machine learning and training data from multiple studies totaling over 100,000 participants. Its performance was then validated in a clinical study of over 2,000 participants. While hypertension notifications will not detect all instances of hypertension, with the reach of Apple Watch, the feature is expected to notify over 1 million people with undiagnosed hypertension within the first year. Hypertension notifications use data from the optical heart sensor on Apple Watch to analyze how a user’s blood vessels respond to the beats of the heart. Like all of Apple’s health features, hypertension notifications are grounded in rigorous scientific validation. The feature was developed with advanced machine learning and training data from multiple studies totaling over 100,000 participants. Its performance was then validated in a clinical study of over 2,000 participants. While hypertension notifications will not detect all instances of hypertension, with the reach of Apple Watch, the feature is expected to notify over 1 million people with undiagnosed hypertension within the first year. “Hypertension is the leading preventable cause of heart attack and stroke, yet millions remain undiagnosed,” said Harlan Krumholz, MD, SM, cardiologist and scientist at Yale University and Yale New Haven Hospital. “Making accurate detection easy and part of daily life can help people get care earlier and prevent avoidable harm.” A user’s iPhone and Apple Watch Series 11 show “Possible Hypertension” and offer more details. Hypertension notifications were developed with advanced machine learning and training data from multiple studies totaling over 100,000 participants. If users receive a hypertension notification, it is recommended that they log their blood pressure for seven days using a third-party blood pressure cuff and share the results with their provider at their next visit, which is consistent with the latest American Heart Association guidelines for the diagnosis and management of hypertension. Clearance for hypertension notifications from the FDA and other regulators is expected soon, and the feature will be available in more than 150 countries and regions — including the U.S. and the EU — this month. Hypertension notifications will be available on Apple Watch Series 9 and later, and Apple Watch Ultra 2 and later, with watchOS 26. Hypertension Notifications Hypertension notifications use data from the optical heart sensor on Apple Watch to analyze how a user’s blood vessels respond to the beats of the heart. Like all of Apple’s health features, hypertension notifications are grounded in rigorous scientific validation. The feature was developed with advanced machine learning and training data from multiple studies totaling over 100,000 participants. Its performance was then validated in a clinical study of over 2,000 participants. While hypertension notifications will not detect all instances of hypertension, with the reach of Apple Watch, the feature is expected to notify over 1 million people with undiagnosed hypertension within the first year. “Hypertension is the leading preventable cause of heart attack and stroke, yet millions remain undiagnosed,” said Harlan Krumholz, MD, SM, cardiologist and scientist at Yale University and Yale New Haven Hospital. “Making accurate detection easy and part of daily life can help people get care earlier and prevent avoidable harm.” A user’s iPhone and Apple Watch Series 11 show “Possible Hypertension” and offer more details. Hypertension notifications were developed with advanced machine learning and training data from multiple studies totaling over 100,000 participants. If users receive a hypertension notification, it is recommended that they log their blood pressure for seven days using a third-party blood pressure cuff and share the results with their provider at their next visit, which is consistent with the latest American Heart Association guidelines for the diagnosis and management of hypertension. Clearance for hypertension notifications from the FDA and other regulators is expected soon, and the feature will be available in more than 150 countries and regions — including the U.S. and the EU — this month. Hypertension notifications will be available on Apple Watch Series 9 and later, and Apple Watch Ultra 2 and later, with watchOS 26.
September 9, 2025 at 8:35 PM
Reposted by Stephen P Juraschek, MD, PhD, FAHA, AHSCP-CHS
amjhypertension.bsky.social
Brief communication

Accuracy of a Novel High-Throughput “Car Blood Pressure” Measurement Protocol

🔗 Accuracy of a Novel High-Throughput “Car Blood Pressure” Measurement Protocol 🔒

#Hypertension
September 9, 2025 at 9:30 AM