Josh Leisring
@joshleisring.bsky.social
Nephrologist / Hypertension Specialist in Columbus, Ohio
#Nephsky
He / him
#Nephsky
He / him
Reposted by Josh Leisring
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...
link.springer.com/epdf/10.1186...
Management of blood pressure in adults, children and young people on dialysis: UK kidney association clinical practice guideline
link.springer.com
September 30, 2025 at 12:03 PM
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...
link.springer.com/epdf/10.1186...
Reposted by Josh Leisring
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
The @ahascience.bsky.social also has a scientific statement here from 2023 www.ahajournals.org/doi/full/10....
#NephJC Catch up
Blood Pressure Measurement in Dialysis: There’s No Place Like Home (Part 1)
This is a 2-part blog post by #NephJC cofounder, hypertension guru, and longtime AJKD contributor Swapnil Hiremath. In Part 1, he outlines the quandaries of blood pressure management in hemodialysi…
ajkdblog.org
September 19, 2025 at 12:33 PM
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
The @ahascience.bsky.social also has a scientific statement here from 2023 www.ahajournals.org/doi/full/10....
#NephJC Catch up
At our center we do the initial screen without altering the existing meds. Don’t wanna miss the opportunity. Patients with the most overt PA have suppressed renin even on RAASi+thiazide. If results aren’t conclusive and suspicion still there can then washout or try empiric MRA. #NephJC
September 18, 2025 at 3:55 AM
At our center we do the initial screen without altering the existing meds. Don’t wanna miss the opportunity. Patients with the most overt PA have suppressed renin even on RAASi+thiazide. If results aren’t conclusive and suspicion still there can then washout or try empiric MRA. #NephJC
Agree, screening seems like the most effective avenue to improve treatment rates on a broad scale.
Also, screening and making the diagnosis of PA in an individual patient allows tailored treatment including follow-up on plasma renin to help guide dose titration to get full benefit of MRA
#NephJC
Also, screening and making the diagnosis of PA in an individual patient allows tailored treatment including follow-up on plasma renin to help guide dose titration to get full benefit of MRA
#NephJC
September 18, 2025 at 3:30 AM
Agree, screening seems like the most effective avenue to improve treatment rates on a broad scale.
Also, screening and making the diagnosis of PA in an individual patient allows tailored treatment including follow-up on plasma renin to help guide dose titration to get full benefit of MRA
#NephJC
Also, screening and making the diagnosis of PA in an individual patient allows tailored treatment including follow-up on plasma renin to help guide dose titration to get full benefit of MRA
#NephJC
This is excellent! Multiple nice learning points all in one well-written case report.
August 21, 2025 at 6:07 PM
This is excellent! Multiple nice learning points all in one well-written case report.