#515 Primary Aldosteronism, A Deep Dive with Anand Vaidya, MD
The Curbsiders Internal Medicine Podcast
The Curbsiders Internal Medicine Podcast
4.8 • 3.3K Ratings
🗓️ 23 February 2026
⏱️ 86 minutes
🧾️ Download transcript
Summary
Helping you diagnose a common cause of hypertension!
Hypertension is a growing disease globally, affecting millions of individuals and increasing the risk of heart disease and stroke. Along with the expert help of Dr. Vaidya (Brigham and Women’s Hospital), we help reimagine the approach of clinicians in terms of hypertension and help them navigate common diagnostic dilemmas! @AnandVaidya17 (Bluesky) @AnandVaidya17 (X)
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Show Segments
- Introduction and Personal Interests
- Advice and Wisdom in Medicine
- Case 1
- Defining Primary Aldosteronism
- Screening for Primary Aldosteronism
- How common is Primary Aldosteronism
- Challenges in Diagnosis and Testing
- Medication Management and Testing Protocols
- Managing indeterminate cases
- Aldosterone Suppression Testing and its role
- Discussing treatment options with patients
- Case 2
- Considering genetic causes of Primary Aldosteronism
- The need for AVS for lateralization
- Upcoming imaging modalities for Primary Aldosteronism
- Case 3
- Medical Management of Primary Aldosteronism
- Future Directions in Treatment
Credits
- Producer, Writer, Show Notes:Mobeen Ahmad MBBS
- Infographic:Kate Grant MBChB MRCGP
- Cover Art:Kate Grant MBChB MRCGP
- Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
- Reviewer: Emi Okamoto MD
- Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
- Technical Production: PodPaste
- Guest: Anand Vaidya MD, MMSc
Disclosures
Dr. Vaidya has disclosed the following:
Financial Relationships: Astra Zeneca-Consulting Fee and Corcept-Consulting Fee, relationships have not ended.
The Curbsiders report no relevant financial disclosures.
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Transcript
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| 0:00.0 | Hey, before we get to the show, I wanted to remind you to check out our Patreon at patreon.com |
| 0:05.6 | slash curbsiders. If you haven't signed up yet, sign up now to get ad-free episodes, |
| 0:10.4 | twice-monthly bonus episodes, and a whole bunch of other cool stuff at patreon.com slash curbsiders. |
| 0:18.9 | Paul, I just watched a program about beavers, and it was the best damn program I've ever seen. |
| 0:26.9 | I wish, I hope our YouTube viewers can see the series of contortions your face went through as you prepped to read that joke out loud. |
| 0:37.1 | The curbsiders podcast is for entertainment, education, and information purposes only, and the topics discussed should not be used solely to diagnose, treat, cure, or prevent any diseases or conditions. For the more of the views and statements expressed on this podcast are solely the host and should not be interpreted to reflect official policy or position of any entity aside from possibly cash like a more honest, and affiliate outreach programs. If indeed, there are any. In fact, there are none. Pretty much, we aren't responsible if you screw up. You should always do your own homework and let us know when we're wrong. |
| 1:02.3 | Welcome back to the curbsiders. |
| 1:03.7 | I'm Dr. Matthew Frank Wado. |
| 1:05.3 | A bit ashamed about that pun that I just told. |
| 1:08.2 | And I'm joined by my co-host, my great friend, America's primary care physician, |
| 1:13.7 | Dr. Paul Nelson Williams. Hi, Paul. Hey, Matt. How are you? I'm doing well because we just had a really |
| 1:20.6 | fantastic eye-opening discussion. We've talked about primary aldosteronism before, but our guest, Dr. Anand Vaidia, really just told us some new stuff, new, like, fancy stuff. |
| 1:35.3 | His approach is a little bit different than other experts we talk to. |
| 1:38.6 | So I feel like it's really great. |
| 1:40.7 | People are going to learn a lot, and I'm excited for them to hear that. |
| 1:43.4 | But Paul, before you introduce our co-host and, you know, before we get into the bio, what is it that we do on curbsiders? Why are we here, Paul? It's a new year. It's 2006. I think this is one of the first episodes we've recorded in 2006. And I just don't remember why we do this still. Yeah, it's, it's our first reporting the new year. I refuse to be existential. But I will share that we are the internal medicine podcast. We use expert interviews to bring you clinical pearls and practice changing knowledge. And as you mentioned, we have an extraordinary guest today who sort of talks us through the management of Hyperaldo. But before we even get there, you also alluded to our excellent co-host and producer of this episode, Dr. Mabin Ahmad. |
| 2:21.2 | Dr. Amad, how are you? |
| 2:23.1 | I'm doing great. |
| 2:24.0 | I'm ready to talk about some hypertension and kind of change the world with this Alda Ostrone talk, hopefully. |
| 2:31.6 | Before we change the world, why don't you share with our listeners who we talk to and how we got to world changing? |
| 2:38.2 | Of course. So today we have a fantastic conversation with our guest, Dr. Anand Weidea. Dr. Videa is chief of the Division of Endocrinology, Diabetes, and Metabolism at Mass General, |
| 2:52.8 | Mass General Brigham and Women's Hospital, including the Massachusetts General Hospital |
... |
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