skinny.

Latest / Clinical Deep Dives

Pharma 29: Heart Failure - Supporting the Failing Pump

This is a free preview of a paid episode. To hear more, visit drmanaankarray.substack.com

This episode reframes heart failure as a syndrome of maladaptive compensation. What begins as the body’s attempt to preserve perfusion—fluid retention, vasoconstriction, neurohormonal activation—gradually accelerates damage and inefficiency. We explore heart failure therapy as a coordinated effort to unload the heart, interrupt harmful signals, and rest…

The skinny

The skinny isn't ready yet — notes appear once the transcript is processed.