Billy Joseph David, MD

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With @CVandenbriele we wrote last year one of the #ACVC Clinical Decision Making Toolkit chapters: 10.2 Managing anticoagulation in critically ill in specific situations. Our chapter could be downloaded here: lnkd.in/dc6UcM3T #antiocoagulation #bleeding #MCS #thrombosis

❤️Cardiogenic shock: from labels to physiology-driven management🤓 A key concept emphasized in this ACVC chapter is that cardiogenic shock should no longer be approached as a single entity, but rather as a dynamic hemodynamic spectrum. Core principles highlighted: • Integration of cardiac output, preload, and afterload • Recognition of distinct hemodynamic phenotypes • Continuous reassessment using multimodal monitoring Clinical implications: The traditional reflex approach (fluids, vasopressors, inotropes) must be replaced by targeted therapy based on physiology: • Vasopressors → for vasoplegia • Inotropes → for pump failure • Diuretics/ultrafiltration → for congestion Monitoring is central: • Echocardiography • Invasive hemodynamics (when indicated) • Dynamic response to therapy My interpretation: This reinforces a major paradigm shift in critical care and cardiology: → We are no longer treating “shock” → We are treating real-time cardiovascular physiology. This approach is essential for improving outcomes in complex ICU patients. 🤓Take-home message: Precision hemodynamics is not optional—it is the future of shock management. 📄 escardio.org/guidelines/pra… #Cardiology #IntensiveCare #CriticalCare #Hemodynamics #CardiogenicShock #MedicalEducation #ClinicalExcellence #ACVC

#ACVC26 starts in 1d 21h! You can browse the sessions, bookmark your favourites online bit.ly/4qk1TXs and in mobile application ACVC 2026 available on the App Store and Google Play. @ACVCPresident @rafavidalperez @drmilicaa @OtiliaTica1 @Jorgeheartshock @franciscojlk

If there is one thing you wanted to ask #cvacute team of experts but didn't get a chance yet - then this is your moment. At open stage #ACVC26 Friday Grab a coffee and join the discussion. See you in Lisbon @escardio @sionis_a @Sofiegevaert Susanna Price Session moderated by @OtiliaTica1 and Maurizio Bertaina @HannahSchaubro1 @StratinakiMaria @drmilicaa @franciscojlk @rafavidalperez @JordiBaneras @JohannesGrand @PabloJ @CVandenbriele

#ACVC2026 starts this Friday 🔥 Ready for the challenge at #ESCACVC2026 😏 Join the ACVC Toolkit Quiz and test your knowledge in acute cardiovascular care with case presenters Ailia Giubertoni and Jaime Francisco Larre Guerra, moderated by Ahmed Zaher, Anna Oleksiak, and Jorge Nuche. 📍 Lisbon 🗓 March 21 | 13:10 Stay connected with our fantastic Social Media Ambassadors as they bring you the latest highlights and unmissable moments in #cvacute: @ACVCPresident @rafavidalperez @drmilicaa @OtiliaTica1 @ann_oleksiak @Jorgeheartshock Follow along for real-time insights, key takeaways, and the most exciting updates from #ACVC_ESC

Phenomenal discussion led by @EHJACVCEiC #ESCCongress #WCCardio @CHassager @ATycinska @HannahSchaubro1 @thiele_holger How to make a correct patient selection - should all pts go to #shock centers immediately? If not when is the right time for transfer ?

Crowded is an understatement 🔥🔥🔥 Presentation of Myocarditis and pericarditis guidelines in Madrid 🇪🇸 #ESCCongress #WCCardio @escardio @franciscojlk @rafavidalperez @KardiologieHH @mirvatalasnag @ACVCPresident @slumberbell @leventpy

Let's check the best #STROKE resources which we selected with @JacopoImberti for #AcuteCVDays week 5 ! #ESCstroke @ACVCPresident @ESC_Journals @escardio @ESCStrokeChair Please check #ACVC free resources here: escardio.org/Sub-specialty-… ...and take part in our Quiz!

#AcuteCVDays have started yesterday Don't miss an opportunity to learn from FREE resources prepared by our experts - you have full MONTH free access to selected resources each week escardio.org/Sub-specialty-… @escardio @UKSrbije @MedupdateVesti @alexandraslivic @simovicst @inafgyahoocom1 @Ivan_Echocardio @AbdoKhoury00 @ERC_resus @ann_oleksiak @maria_bergami @StratinakiMaria @JohannesGrand

See you in Glasgow! The program of #EASCongress2025 is full of fantastic presentations from basic to clinical science 👌

The annual tradition in form of #AcuteCVDays has started - deep dive into this week's topic following the clinical case discussion and the resources prepared by our experts @thiele_holger @vlgmrc @mireia_padilla escardio.org/Sub-specialty-… @escardio @EHJACVCEiC @drmilicaa @CVandenbriele @JordiBaneras @franciscojlk @rafavidalperez

Coronary anomalies may cause lethal arrhythmias. A 65-year-old male patient had sudden cardiac arrest, presenting with ventricular fibrillation requiring defibrillation. What do you see in this #EuroPCR image 🖼️ submitted by a team from 🇵🇭 pcronline.com/Cases-resource… #interventionalcardiology

One big THANK YOU to the congress team @sionis_a @HannahSchaubro1 for organizing such a wonderful #ACVC2025. #ACVCmotions Thanks to all the faculty participants and #ACVC_ESC organizers. Save the date - next stop Lisbon 🇵🇹 #ACVC2026 @escardio @sighalvo @Sofiegevaert @ATycinska @CVandenbriele @JordiBaneras @PabloJ @drmilicaa @franciscojlk @rafavidalperez @carlosalviar @JasonKatzMD @Ana_Viana_T @JaninePoss @EHJACVCEiC @susannaprice @krychtiukmd @cvrints @ChrisBarnettMD @ESC_Camille @EugenieDelaveau @ESC_Lavinia

Workshops are the ones reaching most of the attention at such events - especially those requiring communication skills - check the feedback from one of the participants #ACVC2025 @escardio @PabloJ @JordiBaneras @ATycinska @StratinakiMaria @CVandenbriele @ACVCPresident #ACVCmotions @franciscojlk @rafavidalperez @OtiliaTica1 @maria_bergami @EdinaCenko @UKSrbije @sionis_a @HannahSchaubro1 @JasonKatzMD @JaninePoss

Dear colleagues, #ACVC2025 is approaching and so is our special event 🗣️🍷🎉 Are you a woman in cardiology? You want to find out how to make your stand? Join @susannaprice and @ATycinska and have a step forward in your career #cvacute #speedmentoring @WomenAs1 Register here and secure your spot escardio.org/Congresses-Eve…

Speed mentoring that can change your path forever - don't miss it🗣️🇮🇹🍷🫀 #ACVC2025 #cvacute @UKSrbije @MedupdateVesti @Ivan_Echocardio @simovicst @alexandraslivic @cmaltahansen @CVandenbriele @drdargaray @AwadZei1 @aayshacader @MihaiTrofenciuc @mirvatalasnag @KemalogluOz

First of many #ACVC_ESC inspiring events for 2025 is approaching soon #ACVC2025 - look at the insights from ACVC board. Stay tuned for more in #EHJACVC bit.ly/4b0udba @EHJACVCEiC @JaninePoss @ACVCPresident @drmilicaa @HannahSchaubro1

"Best of" series in continuum⏩ #ACS in 🧐 @ESC_Journals @vlgmrc @drmilicaa doi.org/10.1093/ehjacc… @ACVCPresident @escardio #cvacute #EHJACVC Video made by @maria_bergami

New Year - New resolutions 🎄🫀 Are you ready to share your work with the 🌍 @escardio Don't miss the opportunity to present at THE #cvacute congress of the year Call for late breaking science is OPEN 7 days left to apply ⬇️ escardio.org/Congresses-Eve… Also, early bird registration is OPEN for a week - your opportunity for the best price 💰 escardio.org/Congresses-Eve… @sionis_a @HannahSchaubro1 @thiele_holger @CHassager

Happy to be part of #ACVC_ESC 🎄⛄🫀 @UKSrbije @ann_oleksiak @maria_bergami @marinj0 @biljana_parapid @BillyJDavid @AwadZei1 @dr_maghraby @AbdoKhoury00 @KemalogluOz @GSoCers @alexandraslivic @EchoSoliman @SaDeRosa78 @drdargaray @CVandenbriele @cmaltahansen @aayshacader @MihaiTrofenciuc @mirvatalasnag @Sarah_Moharem @iamritu @inafgyahoocom1 @Ivan_Echocardio