M. Bilal Ahmed, MD, MBA
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brwnmgk.bsky.social
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).
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
November 26, 2025 at 4:08 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
November 24, 2025 at 2:33 PM
November 24, 2025 at 2:33 PM
November 24, 2025 at 2:33 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
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.
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.
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.
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.
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
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?
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.
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.
Embracing Artificial Intelligence in Cardiovascular Disease Fellowship:
www.jacc.org
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
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
▶️ 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
▶️ OpenEvidence. Sign up is free. It’s UptoDate but better. Answers are supported with specialty-specific guidelines and relevant primary source papers. Plus, it can write prior authorizations for you, write home care instructions, etc. www.openevidence.com
OpenEvidence
The leading medical information platform.
www.openevidence.com
November 24, 2025 at 2:21 PM
That’s all great, but for providers, the virtues of AI-assisted healthcare scream at us from ads on every platform, spam emails, etc. What do we actually do? Is there a filter for the noise?

Glad you asked.

A few practical tools from my own experience:
November 24, 2025 at 2:21 PM
▶️ When in doubt, ask your doc. As tools come out, the onus is on us to know what works/doesn't. We may reach a point where diagnosis can be made remotely with 1 device. We aren't there yet, but the tools we have can offer value. Staying informed & keeping docs informed makes care more efficient
November 24, 2025 at 2:21 PM
▶️ Check your device's capabilities before spending valuable $ on the next "smart device" when medical equipment would be the better choice. Case in point: the newest iPhone was supposed to give detailed information about periods of sleep apnea. That hasn't panned out
November 24, 2025 at 2:21 PM
▶️ Keep your device with you when you're on your feet. Most devices can track your steps, tell your the pace, estimate calories burned, & track progress over time

▶️ If you have a device that can assess heart rhythm, use it. The tools aren't perfect but are useful
November 24, 2025 at 2:21 PM
Wonderful. How does someone not in the medical field apply this? What’s your point, man?

For patients,

Use the tools built into smartphones and smart devices to streamline your health care and keep you and your providers on the same page. Here are a few ways (www.ahajournals.org/doi/10.1161/...)
American Heart Association Journals
www.ahajournals.org
November 24, 2025 at 2:21 PM
The information is readily available & immediately open to peer review and critique. Let's welcome this kind of real time feedback without the crutch of a paywall.

It’s time we modernize our approach & embrace open source. Knowledge should not be siloed. Informed HCPs = better care for patients.
November 24, 2025 at 2:21 PM