Stephen Juraschek MD, PhD, FAHA, AHSCP-CHS @spjuraschek
Internist, hypertension specialist, epidemiologist, and trialist interest in healthy food access, sodium, heart disease, blood pressure regulation, and gout connects.catalyst.harvard.edu/Profiles/displ… Boston, MA Joined June 2018-
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Neat study weighing on the sex-specific hypertension differences debate. Shows importance of looking at absolute (vs relative) risk. Sex-Related Disparities in Cardiovascular Outcomes Among Older Adults With Late-Onset Hypertension | Hypertension ahajournals.org/doi/abs/10.116…
Congrats to @Caerymorales on this work! @jwilliamMD
Congrats to @Caerymorales on this work! @jwilliamMD
Effects of Reduced Dietary Sodium and the DASH Diet on GFR: @spjuraschek et al @ASNKidney360 journals.lww.com/kidney360/full…
This looks like a neat new PCORI trial for hypertension treatment among adults with multiple chronic conditions: pcori.org/research-resul…
Great resource! Thanks for sharing!!
The @ConsumerReports on diet and #hypertension consumerreports.org/health/high-bl… Mentions Sodium of course, but also Potassium, Alcohol, and Fibre (cc @FZMarques )
Interesting paper @JAMAInternalMed. Propensity scores don't resolve confounding & treatment may be a solution to the underlying problem (high BP). Association does not equal causation. Antihypertensive Meds and Fracture Risk in VA Nursing Home Residents jamanetwork.com/journals/jamai…
Neat study. Reinforces my thinking that systolic BP is the primary driver behind associations of pulse pressure with subclinical mycardial injury. Systolic BP, Diastolic BP and Pulse Pressure and the Risk of Subclinical Myocardial Injury ahajournals.org/doi/10.1161/JA…
Neat case of serotonin syndrome presenting as supine hypertension amd orthostatic hypotension. casereports.bmj.com/content/17/4/e…
salt in disguise @nytimes has a good article on hidden salt today. I didn’t select the right item with lower salt in some pairs. @spjuraschek
Received my copy! Grateful for opportunity to contribute to the chapter on orthostatic hypotension with @cyndyashibao1. Looking forward to reading the other chapters!
Really high quality trial on time restricted fadting and its lack of benefits.
Really high quality trial on time restricted fadting and its lack of benefits.
Important observationsl study showing importance of lower blood pressure for longer survival. Systolic Blood Pressure and Survival to Very Old Age: Results From the Women’s Health Initiative | Circulation ahajournals.org/doi/abs/10.116…
A remote postpartum BP monitoring program for women with persistent hypertension after delivery was feasible and linked to higher rates of primary care provider visits and BP control @AnishaRReddy @UPMC @malamo512 @healiowomen #Cardotwitter Read more👇 healio.com/news/cardiolog…
I found the potassium-enriched sodium substitute in our local @woolworths supermarket today Next to the real salt - a bit hidden but it was there, that’s what it looks like 👇 I blind-tested it & couldn’t tell the difference - will be replacing the normal salt when possible 👍
I found the potassium-enriched sodium substitute in our local @woolworths supermarket today Next to the real salt - a bit hidden but it was there, that’s what it looks like 👇 I blind-tested it & couldn’t tell the difference - will be replacing the normal salt when possible 👍 https://t.co/MV1zeM5Nwm
It's been one of those Fridays where I wish I could delete my entire inbox and send a reply all to everyone that emailed to try again next week! I may just have to give up on email as a mode of communication... if you want to talk, grab me in the hall!
I saw a patient the other day who was convinced to start HTN treatment during a hospitalization after 5 years of reluctance outpatient. Her HTN control could still be optimized, but I'm grateful to the physicians who took the opportunity to address the issue when they saw it!
@spjuraschek Several anecdotal events for myself. First and recurrent (paroxysmal) AF found by pt during routine BP, confirmed by clinic ekg or atm by me. The single lead wearable era has been even better 🥰 👊🏾
@spjuraschek Several anecdotal events for myself. First and recurrent (paroxysmal) AF found by pt during routine BP, confirmed by clinic ekg or atm by me. The single lead wearable era has been even better 🥰 👊🏾
This is pretty cool. BP monitors seem to do a pretty good job detecting afib! Atrial Fibrillation Screening During Routine Automated Office, Home, and Ambulatory Blood Pressure Measurement: A Diagnostic Test Accuracy Meta-Analysis | Hypertension ahajournals.org/doi/10.1161/HY…
@spjuraschek would have ♥️ to attend this great initiative @HTNsummerschool but cant 🥺so please 🐦🐦🐦 @spjuraschek @brandimwynne & everyone
Dr Anastasia Mihailid.. @AnastasiaSMihai
18K Followers 7K Following Snr Hospital Scientist @NSLHD; Head, CHR Lab, @KollingINST; Hon A/Prof MQ University; @HyperAHA #SoMe Editor; #AHA Lead Science Social Media InfluencerErin D. Michos, M.D. @ErinMichos
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35 Followers 18 Following The summer school fosters collaboration among trainees, forming a network to lead the future of hypertension research and education.Farah Allouch, MPH @FarahAllouch3
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229 Followers 437 Following Rising M4 & Current Research Fellow @NUFeinbergMed '25 | @NorthwesternU/@UniofOxford '18 | Interests in cardiology, epidemiology, palliative care, 🏃🏻, 📸Health Disparities @NIMHD
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162 Followers 254 Following Medical Doctor in Brazil 🇧🇷| Aspiring IM in the USA 🇺🇸 | Cardiology love | Research focus hypertension/hypotensionAnna Michael Gorczyca.. @annamichaelg
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375 Followers 395 Following I use biochemical reactions to convert burritos into scientific manuscripts. Order Equal Care here: https://t.co/IddASRvfhpEuropean Society of C.. @escardio
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477 Followers 693 Following Assistant Professor @UTSWHeart Research Interests:🫀🫁 #Metabolism #Hyperpolarized13CMR #MetabolicImaging #StableIsotopeTracersGianfranco Parati MD,.. @GParati22
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10K Followers 2K Following Nephrologist & Transplant Physician, Bangalore/Trustwell/Sagar Hospitals | Co-Founder @Bloom_Value | Chair: @isn_india SoMe | Member- ISN SARB | #ECNeph Creatordan majerczyk @DanMajerczyk
327 Followers 3K Following Associate Professor and Chair of Teaching & Academic Excellence @RooseveltU 🌍📚Learning to Change the World @HGSE @Harvard 🎓Dr Meral Kayikcioglu @MeralKayikcoglu
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314K Followers 528 Following Physician, researcher, advocate for notion that an ounce of data is worth a thousand pounds of opinion Former White House COVID-19 Response CoordinatorMartin Nitschke @nitschke_martin
336 Followers 2K Following Nephro-Doc, University of Lübeck, Transplantation NephrologyEffects of Reduced Dietary Sodium and the DASH Diet on GFR: @spjuraschek et al @ASNKidney360 journals.lww.com/kidney360/full…
@KidneyInCVD @Carmendemigue12 @spjuraschek @ASNKidney360 This is incredible @spjuraschek!
@spjuraschek @hswapnil Extremely useful. Thank you very much!
Happy to share our review on single pill combination therapy for treatment of hypertension #antoniococa #miguelcamafort @JosePatricioLop @seamuswhelton @UWCardiology @CiccaroneCenter @DaichiShimbo @spjuraschek @EJIM_journal sciencedirect.com/science/articl…
The @ConsumerReports on diet and #hypertension consumerreports.org/health/high-bl… Mentions Sodium of course, but also Potassium, Alcohol, and Fibre (cc @FZMarques )
They also got the right BP monitors this time. All passed validatebp.org 👍 @jordy_bc @spjuraschek consumerreports.org/health/blood-p…
The @ConsumerReports on diet and #hypertension consumerreports.org/health/high-bl… Mentions Sodium of course, but also Potassium, Alcohol, and Fibre (cc @FZMarques )
@TimAndersonMD @spjuraschek @JAMAInternalMed Agree, certainly negative controls can be a standard for many pharmacoepi studies. I probably wouldn’t use this study to inform risk estimates in my practice, but certainly something I’ll draw on when thinking of future questions.
@hswapnil @reverendofdoubt @spjuraschek I harbor the same thoughts about database studies there, but I wonder: does that reflect the editorial board composition, or the types of reviewers that JAMA journals tend to invite?
@TimAndersonMD @spjuraschek @JAMAInternalMed What if folks taking anti-HTN meds were thought of as healthier (in some way not accounted for in an EMR) and hence CVD risk was being treated. Maybe more mobile, more likely to fall and fracture. Need a comparator that gets at that without similar side effects - like statins.
@TimAndersonMD @spjuraschek @JAMAInternalMed But risk compared to what is important in almost every situation, including here. Risk compared to not initiating is still better studied in people initiating non-HTN meds. I'll have to think about it more, but part of me thinks a lipid-lowering meds might be a good comparator
@spjuraschek 1. JAMA IM loves therapeutic nihilism + 2. The big JAMA journals still don’t do large database studies well - this is a common problem of just accepting PS as sufficient
We won't get RCTs for everything, and pharmacoepi studies fill gaps. But many of big target trial emulation studies seem to compare new-users vs non-users and come from the VA. Need more diversity in claims-linked EMR data...and more active comparators! #epitwitter #medtwitter
Interesting paper @JAMAInternalMed. Propensity scores don't resolve confounding & treatment may be a solution to the underlying problem (high BP). Association does not equal causation. Antihypertensive Meds and Fracture Risk in VA Nursing Home Residents jamanetwork.com/journals/jamai…
@TimAndersonMD @spjuraschek @JAMAInternalMed Would've been interested in an active comparator in this emulation. As you know, I'm very over comparing users to non-users 😉 We don't have good benefit data for this population, but still more work to be done for good safety data too
@spjuraschek @JAMAInternalMed Propensity score analyses can control only for the measured confounders that go into propensity- my feeling about the matching is generalizability. Inverse probability weighting or SMR weights would be better for ATE or ATT
Thank you to my friends at the Korean Society of Cardiology for collaborating with @ACCinTouch on the Train the Trainer program in historic Gyeongju @nihardesai927 @CathieBiga @ChrisKramerMD
Thanks to JCRS for the recognition today and @trpollen for the nomination! 🥺🥺Grateful to be working with so many amazing people embodying the mission and values of @JeffersonUniv