Swapnil Hiremath @hswapnil@bsky.social Profile picture
Nephrologist = kidney doc, #NephJC cofounder; Work @OttawaHospital @UOttawa; No PhrMA conflicts; QT hater; MPH 🤷🏽‍♂️; He/Him/His; @FreelyFiltered panelist
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May 24 14 tweets 5 min read
The FLOW trial results are live at @nejm as well

#ERA24



Primary composite kidney ✅
CV Death✅
All cause death ✅
GFR slope ✅
First MACE ✅
Kidney specific composite ✅ nejm.org/doi/full/10.10…
Image Pretty consistent in all subgroups

FLOW at #ERA24 Image
Sep 9, 2023 7 tweets 3 min read
First up is @SanthiKGanesh on FMD molecular and genetic mechanisms
This is a *systemic* arteriolopathy not just renal
#hypertension23
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Broad classifications - from
And how the presentations vary
@FMDartery @FMDChat
#Hypertension23 ahajournals.org/doi/10.1161/01…

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Apr 29, 2023 5 tweets 4 min read
JC @VelezNephHepato blows up the IAC criteria for defining #Hepatorenal syndrome

Really impractical and not useful
#ApExPathshala Image Interestingly enough, norepinephrine is possibly very similar to Terlipressin in hepatorenal syndrome as long as the MAP goes up (which is key!) @VelezNephHepato at
#ApExPathshala Image
Apr 29, 2023 6 tweets 5 min read
Tony @tony_breu holding court on renal physiology in ATN at #ApExPathshala
Is TGF in ischemic ATN good or bad? Image The seminal paper of course is Klaus Thurau on Acute Renal Success
#ApExPathshala pubmed.ncbi.nlm.nih.gov/961698/ ImageImage
Apr 28, 2023 4 tweets 3 min read
The #Tweetorial guru @tony_breu up next with a fresh tweetorial presentation (he will post it tomorrow for the rest of you)

#ApExPathshala Image Tony @tony_breu walking us through his research that underlies a single tweetorial

It’s intense.

Why? is a tough question.

#ApExPathshala
Oct 19, 2022 9 tweets 4 min read
Published! (Months after being FDA approved) by @IgAN_JBarratt et al

The phase 3A part of targeted release budesonide (called Nefecon) in IgA

kidney-international.org/article/S0085-…

They included IgA with proteinuria > 1g and GFR 35 to 90 + max supported RASi

see how that worked out:

1/ Image Safety on all presented (note more AEs in Nefecon group)

Efficacy on those with 9 month follow up

2/ Image