Getting to the Heart of Kidney Disease session moderated by @jenniejlin and @RupalMehtaMD first up: Medication Landscape in Cardio-Renal Disease Robert Lee Page Pharm D #NKFClinicals
Starts off with the pearl the heart pumps blood top the kidney. Now on to new heart failure guidelines using all the l pillars and you get 73% reduction in mortality #NKFClinicals 
Level of evidence in CKD is pretty much absent. #NKFClinicals
Saying blocking the bradykinin is really helpful. He says the cough sucks but it really helps. #NKFClinicals
ATLAS Trial randomized High or Low dose ACEi. No I difference in mortality benefit. ahajournals.org/doi/full/10.11… #NKFClinicals
He is pushing lower doses of ACEi/ARB to increase tolerability. #NKFClinicals
Pushing ARNI, no longer need to start with ACEi/ARB prior to adding ARNI. Remember to washout any ACEi before starting secubitril to avoid terrible angioedema.
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