Vivek Bhalla, MD, FASN, FAHA
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bhallaresearch.bsky.social
Vivek Bhalla, MD, FASN, FAHA
@bhallaresearch.bsky.social
Exploring Molecular Mechanisms of Kidney Disease and Hypertension; Associate Professor, Stanford Medicine; Director, Stanford Hypertension Center; Director, Stanford Pre Renal Initiative; former Chair, Council on Kidney and Cardiovascular Disease, AHA
Great reference
September 12, 2025 at 5:53 AM
Wanpen- interesting …do you have a reference? I believe baxdrostat is via CYP3A4? (Ie similar to eplerenone and tacrolimus, and therefore concerns with things like diltiazem and paxlovid)
April 24, 2025 at 10:30 PM
Amen!
April 24, 2025 at 6:22 AM
but this could change soon with ARCTIC, PACIFIC trials

Full disclosure: SABs for AZ, Bayer
April 24, 2025 at 6:02 AM
aldosterone sensitivity, etc.

Regarding ASIs vs MRAs, I was a big believer in eplerenone with its fewer side effects but have accumulated more and more folks where it’s simply not potent enough. This creates a lane for ASIs. nsMRAs (possibly MRAs in general) still have the upper hand for GDMT 2/n
April 24, 2025 at 6:02 AM
Very exciting news…..success with this broad cohort continues a slow and steady march for blockade of aldosterone signaling as a major tool in hypertension more broadly (not just obvious cases of PA) by likely capturing common cases of subclinical PA, aldosterone dysregulation, 1/n
April 24, 2025 at 6:02 AM