M. Bilal Ahmed, MD, MBA
@brwnmgk.bsky.social
Interventional/ Structural Cardiologist. CSO & Co-founder of Lylah Health (lylahhealth.com). Non-linearly: Gut microbiome (dysbiosis) -> Inflammation -> cardiovascular disease (& more).
3) The bar for evidence needs to be higher @fda.gov
4) Lylah was founded with this in mind - we’ll show our work & provide all relevant academic papers
#medsky #cardiology #cardiosky #showmethedata #supplement #guthealth #gutmicrobiome #inflammation #probiotics
4) Lylah was founded with this in mind - we’ll show our work & provide all relevant academic papers
#medsky #cardiology #cardiosky #showmethedata #supplement #guthealth #gutmicrobiome #inflammation #probiotics
November 28, 2025 at 4:31 PM
3) The bar for evidence needs to be higher @fda.gov
4) Lylah was founded with this in mind - we’ll show our work & provide all relevant academic papers
#medsky #cardiology #cardiosky #showmethedata #supplement #guthealth #gutmicrobiome #inflammation #probiotics
4) Lylah was founded with this in mind - we’ll show our work & provide all relevant academic papers
#medsky #cardiology #cardiosky #showmethedata #supplement #guthealth #gutmicrobiome #inflammation #probiotics
Chat with my cofounder about the role of the supplement space in healthcare. ~50% of my patients take a supplement for heart health, and evidence behind them varies widely from 0 to some.
Quick thoughts:
1) Ignoring this reality as a HCP is foolish
2) Knowing what’s out there is necessary
Quick thoughts:
1) Ignoring this reality as a HCP is foolish
2) Knowing what’s out there is necessary
November 28, 2025 at 4:31 PM
Chat with my cofounder about the role of the supplement space in healthcare. ~50% of my patients take a supplement for heart health, and evidence behind them varies widely from 0 to some.
Quick thoughts:
1) Ignoring this reality as a HCP is foolish
2) Knowing what’s out there is necessary
Quick thoughts:
1) Ignoring this reality as a HCP is foolish
2) Knowing what’s out there is necessary
So, happy holidays from me and Lylah! Hit me with your resolutions
#thanksgiving #holidayheart #hearthealth #cardiology #cardiosky #medsky
#thanksgiving #holidayheart #hearthealth #cardiology #cardiosky #medsky
November 27, 2025 at 5:19 PM
So, happy holidays from me and Lylah! Hit me with your resolutions
#thanksgiving #holidayheart #hearthealth #cardiology #cardiosky #medsky
#thanksgiving #holidayheart #hearthealth #cardiology #cardiosky #medsky
Cliffnotes: Risk of cardiac death is ~5% higher during the holidays than otherwise.
Message: Prevention, not reaction. Take care of yourself now, not after the stuffing (figuratively & literally).
Message: Prevention, not reaction. Take care of yourself now, not after the stuffing (figuratively & literally).
November 27, 2025 at 5:19 PM
Cliffnotes: Risk of cardiac death is ~5% higher during the holidays than otherwise.
Message: Prevention, not reaction. Take care of yourself now, not after the stuffing (figuratively & literally).
Message: Prevention, not reaction. Take care of yourself now, not after the stuffing (figuratively & literally).
The holidays are great for family, but for the cath lab, they’re a reminder of human mortality and the harms of ignoring symptoms, delaying that check up, & overindulging.
For a real damper on everyone’s holidays, this 2004 Circulation paper rings true today: www.ahajournals.org/doi/10.1161/...
For a real damper on everyone’s holidays, this 2004 Circulation paper rings true today: www.ahajournals.org/doi/10.1161/...
Cardiac Mortality Is Higher Around Christmas and New Year’s Than at Any Other Time | Circulation
Background— Research published in Circulation has shown that cardiac mortality is highest during December and January. We investigated
whether some of this spike could be ascribed to the Christmas/New...
www.ahajournals.org
November 27, 2025 at 5:19 PM
The holidays are great for family, but for the cath lab, they’re a reminder of human mortality and the harms of ignoring symptoms, delaying that check up, & overindulging.
For a real damper on everyone’s holidays, this 2004 Circulation paper rings true today: www.ahajournals.org/doi/10.1161/...
For a real damper on everyone’s holidays, this 2004 Circulation paper rings true today: www.ahajournals.org/doi/10.1161/...
Anything the tool can't answer, ask me or Zoya.
Shout out to Zara Ahmed for editing the video & our head of medical advisory board Wasiq Sheikh, MD for helping curate the 79 papers the tool is trained on.
#probiotics #wellness #medsky #hearthealth #inflammation #gutmicrobiome #guthealth #cardiosky
Shout out to Zara Ahmed for editing the video & our head of medical advisory board Wasiq Sheikh, MD for helping curate the 79 papers the tool is trained on.
#probiotics #wellness #medsky #hearthealth #inflammation #gutmicrobiome #guthealth #cardiosky
November 26, 2025 at 4:08 PM
Anything the tool can't answer, ask me or Zoya.
Shout out to Zara Ahmed for editing the video & our head of medical advisory board Wasiq Sheikh, MD for helping curate the 79 papers the tool is trained on.
#probiotics #wellness #medsky #hearthealth #inflammation #gutmicrobiome #guthealth #cardiosky
Shout out to Zara Ahmed for editing the video & our head of medical advisory board Wasiq Sheikh, MD for helping curate the 79 papers the tool is trained on.
#probiotics #wellness #medsky #hearthealth #inflammation #gutmicrobiome #guthealth #cardiosky
Approach:
➡️ Femoral, 6 Fr destination sheath, AR2 guide
➡️ Double wire RPDA & PLV
➡️ 3 shockwave balloons & a Wolverine later
➡️ Resolute = lower profile/more deliverable
➡️ Lots of IC Nitro
Final:
➡️ RPDA 2.5 x 26 mm DES
➡️ Mid-distal RCA 3.5 x 48 mm DES
➡️ Blasted it, IVUS post 3.0 distally, 4.0 prox
➡️ Femoral, 6 Fr destination sheath, AR2 guide
➡️ Double wire RPDA & PLV
➡️ 3 shockwave balloons & a Wolverine later
➡️ Resolute = lower profile/more deliverable
➡️ Lots of IC Nitro
Final:
➡️ RPDA 2.5 x 26 mm DES
➡️ Mid-distal RCA 3.5 x 48 mm DES
➡️ Blasted it, IVUS post 3.0 distally, 4.0 prox
November 24, 2025 at 2:33 PM
Approach:
➡️ Femoral, 6 Fr destination sheath, AR2 guide
➡️ Double wire RPDA & PLV
➡️ 3 shockwave balloons & a Wolverine later
➡️ Resolute = lower profile/more deliverable
➡️ Lots of IC Nitro
Final:
➡️ RPDA 2.5 x 26 mm DES
➡️ Mid-distal RCA 3.5 x 48 mm DES
➡️ Blasted it, IVUS post 3.0 distally, 4.0 prox
➡️ Femoral, 6 Fr destination sheath, AR2 guide
➡️ Double wire RPDA & PLV
➡️ 3 shockwave balloons & a Wolverine later
➡️ Resolute = lower profile/more deliverable
➡️ Lots of IC Nitro
Final:
➡️ RPDA 2.5 x 26 mm DES
➡️ Mid-distal RCA 3.5 x 48 mm DES
➡️ Blasted it, IVUS post 3.0 distally, 4.0 prox
This was a lot, but to recap, there are tried and true tools I’ve tried to distill/highlight here for patients and clinicians alike. If there’s a topic you’d like to read about, drop it in a comment or message, and I’ll do a deep dive for you. #medsky #cardiosky #meded
November 24, 2025 at 2:21 PM
This was a lot, but to recap, there are tried and true tools I’ve tried to distill/highlight here for patients and clinicians alike. If there’s a topic you’d like to read about, drop it in a comment or message, and I’ll do a deep dive for you. #medsky #cardiosky #meded
▶️ AI literacy requires practice. Use of AI tools should be encouraged and their output analyzed with a mentor
▶️ High quality tools should be distributed by the institution. Ex: Elicit AI does a wonderful job of streamlining systematic reviews. Paid tools empowers trainees to learn by doing.
▶️ High quality tools should be distributed by the institution. Ex: Elicit AI does a wonderful job of streamlining systematic reviews. Paid tools empowers trainees to learn by doing.
November 24, 2025 at 2:21 PM
▶️ AI literacy requires practice. Use of AI tools should be encouraged and their output analyzed with a mentor
▶️ High quality tools should be distributed by the institution. Ex: Elicit AI does a wonderful job of streamlining systematic reviews. Paid tools empowers trainees to learn by doing.
▶️ High quality tools should be distributed by the institution. Ex: Elicit AI does a wonderful job of streamlining systematic reviews. Paid tools empowers trainees to learn by doing.
How do we train the next generation of clinicians:
▶️ Just as evidence based medicine is required in medical school, AI-based medicine should be required and taught by experts, preferably clinicians who understand data science.
▶️ Just as evidence based medicine is required in medical school, AI-based medicine should be required and taught by experts, preferably clinicians who understand data science.
November 24, 2025 at 2:21 PM
How do we train the next generation of clinicians:
▶️ Just as evidence based medicine is required in medical school, AI-based medicine should be required and taught by experts, preferably clinicians who understand data science.
▶️ Just as evidence based medicine is required in medical school, AI-based medicine should be required and taught by experts, preferably clinicians who understand data science.
In research, AI innovations guide POC US, digest innumerable data points, & streamline lit review. Blind use risks incorrect application, overreliance on a machine's learning, turning one's own brain off, & pumping out research that is reviewed by individuals who may not know how to analyze it.
November 24, 2025 at 2:21 PM
In research, AI innovations guide POC US, digest innumerable data points, & streamline lit review. Blind use risks incorrect application, overreliance on a machine's learning, turning one's own brain off, & pumping out research that is reviewed by individuals who may not know how to analyze it.
OCT for intravascular image-guided PCI has progressed to the point that AI calculations remove much of the guesswork behind PCI. A good OCT run can tell the operator what length and diameter stent to use and how to size the stent after deployment, telling you exactly how and where to intervene.
November 24, 2025 at 2:21 PM
OCT for intravascular image-guided PCI has progressed to the point that AI calculations remove much of the guesswork behind PCI. A good OCT run can tell the operator what length and diameter stent to use and how to size the stent after deployment, telling you exactly how and where to intervene.
Ex: When planning for TAVR, an integral geometric consideration is risk of coronary artery obstruction. I use DASI simulations for this. Reviewing the videos & utilizing the values to guide decision making is one thing, but understanding what goes into the results the algorithm spits out is another
November 24, 2025 at 2:21 PM
Ex: When planning for TAVR, an integral geometric consideration is risk of coronary artery obstruction. I use DASI simulations for this. Reviewing the videos & utilizing the values to guide decision making is one thing, but understanding what goes into the results the algorithm spits out is another
▶️ Trainee curriculum should integrate a longitudinal AI series. Like board review & journal club, AI in medicine series can be incorporated w/o disruption. This can be an independent series and/or admixed with existing conferences, such as journal club or film review.
Why is this important?
Why is this important?
November 24, 2025 at 2:21 PM
▶️ Trainee curriculum should integrate a longitudinal AI series. Like board review & journal club, AI in medicine series can be incorporated w/o disruption. This can be an independent series and/or admixed with existing conferences, such as journal club or film review.
Why is this important?
Why is this important?
How can we achieve this:
▶️ Mentors should have the knowledge to guide trainees, esp as our tools integrate AI.
▶️ Trainees have a lot on their plates. AI familiarity is an integral skill (like lit review & stats). There has to be buy in & belief that AI literacy is not optional.
▶️ Mentors should have the knowledge to guide trainees, esp as our tools integrate AI.
▶️ Trainees have a lot on their plates. AI familiarity is an integral skill (like lit review & stats). There has to be buy in & belief that AI literacy is not optional.
November 24, 2025 at 2:21 PM
How can we achieve this:
▶️ Mentors should have the knowledge to guide trainees, esp as our tools integrate AI.
▶️ Trainees have a lot on their plates. AI familiarity is an integral skill (like lit review & stats). There has to be buy in & belief that AI literacy is not optional.
▶️ Mentors should have the knowledge to guide trainees, esp as our tools integrate AI.
▶️ Trainees have a lot on their plates. AI familiarity is an integral skill (like lit review & stats). There has to be buy in & belief that AI literacy is not optional.
Now, how do we incorporate this into trainee education? AI tools are here to stay, & we’d be foolish not to guide trainees.
AI fluency for HCPs is lacking across the board. In JACC: Advances, this sentiment is summarized: www.jacc.org/doi/10.1016/.... Efforts must follow a top-down approach.
AI fluency for HCPs is lacking across the board. In JACC: Advances, this sentiment is summarized: www.jacc.org/doi/10.1016/.... Efforts must follow a top-down approach.
Embracing Artificial Intelligence in Cardiovascular Disease Fellowship:
www.jacc.org
November 24, 2025 at 2:21 PM
Now, how do we incorporate this into trainee education? AI tools are here to stay, & we’d be foolish not to guide trainees.
AI fluency for HCPs is lacking across the board. In JACC: Advances, this sentiment is summarized: www.jacc.org/doi/10.1016/.... Efforts must follow a top-down approach.
AI fluency for HCPs is lacking across the board. In JACC: Advances, this sentiment is summarized: www.jacc.org/doi/10.1016/.... Efforts must follow a top-down approach.
▶️ Elicit AI. Free tier. Ask a research ?, & get a systematic review. It filters all relevant papers & spits out most relevant & shows you why they’re relevant. Ex: 50 papers prioritized by statistical quality (RCT 1st), relevance to my ?, human over animal research, etc. elicit.com
Elicit: AI for scientific research
Use AI to search, summarize, extract data from, and chat with over 125 million papers. Used by over 2 million researchers in academia and industry.
elicit.com
November 24, 2025 at 2:21 PM
▶️ Elicit AI. Free tier. Ask a research ?, & get a systematic review. It filters all relevant papers & spits out most relevant & shows you why they’re relevant. Ex: 50 papers prioritized by statistical quality (RCT 1st), relevance to my ?, human over animal research, etc. elicit.com
▶️ NotebookLM. Requires a Google account. Free tier is enough to start. Upload sources (books, papers, etc), & it only pulls from what's uploaded (closed-loop). Gives mind maps, FAQs, audio/video overviews, blog posts, & more. Use: boards, procedural tools, learn new skills. notebooklm.google.com
Sign in - Google Accounts
notebooklm.google.com
November 24, 2025 at 2:21 PM
▶️ NotebookLM. Requires a Google account. Free tier is enough to start. Upload sources (books, papers, etc), & it only pulls from what's uploaded (closed-loop). Gives mind maps, FAQs, audio/video overviews, blog posts, & more. Use: boards, procedural tools, learn new skills. notebooklm.google.com