Critical Care Cardiologist @AdvocateHealth, by way of @UMN_DOM CCM, @UMNcardsfellow, @CCF_IMCHIEFS #CardsCritCare, he/him

Joined September 2018
Daniel Marcos Gonzalez MD retweeted
LV unloading during VA #ECMO in refractory CS: 🔍 264 patients in 2 high-volume centers, 2019-2023 🫀 52.2% ECMO alone, 47.8% ECMO + LV unloading ⚖️ early LV unloading not associated with survival benefit, nor with improved ECMO weaning rates, despite an increased device-related complications Non-selective approach to LV unloading may expose patients to unnecessary risks without improving outcomes; clinically meaningful benefits in carefully selected patient phenotypes cannot be excluded. Results of ongoing RCTs eagerly awaited to define optimal unloading strategies: indications, timing, modality. #FOAMcc @Crit_Care 🔓 rdcu.be/gXGJHYxag6Da
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Daniel Marcos Gonzalez MD retweeted
Pragmatic Assessment of VA-ECMO Decannulation Readiness After Extracorporeal Cardiopulmonary Resuscitation for Out-of-Hospital Cardiac Arrest @JACCJournals @AndreaElliottUM jacc.org/doi/10.1016/j.jacad…
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Daniel Marcos Gonzalez MD retweeted
Here’s another pulmonary physiology question that *everyone* who gives O2 to patients ought to know: What is the primary mechanism by which supplemental oxygen can increase PaCO2 in someone with severe COPD? 1/
48%Hypoxic respiratory drive
21%Hypoxic vasoconstriction
22%Haldane effect
9%Something else / answers
23,074 votes • Final results
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What a fantastic conference! Always so much to learn. Catching up with good friends @nyulangone #critcarecards25 The @advocatehealth team will definitely show up for next year!!
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Daniel Marcos Gonzalez MD retweeted
Learning from the best! Dr Bartos on new & exciting trials 🔬🧪 ♥️Detection is 🗝️ ♥️DSC as 1st ⚡️ vs standard ♥️Bicarb, 🩸🩸 being investigated ♥️eCPR data coming soon #CritCareCards25 @SocietyOfCCC @CCCEnthusiasts @JasonKatzMD @jameshorowitzmd @AnnGageMD
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Amazing work from the @UMN_DCVM group and @thenappanMD!!
Dr. @thenappanMD, et al present the first trial of microbiota transplant therapy from healthy donor stool in PAH patients and show that the microbiota transplant therapy is safe and feasible in this patient population. jacc.org/doi/10.1016/j.jacbt… #JACCBTS #cvPAH #Inflammation
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Daniel Marcos Gonzalez MD retweeted
Dr. @thenappanMD, et al present the first trial of microbiota transplant therapy from healthy donor stool in PAH patients and show that the microbiota transplant therapy is safe and feasible in this patient population. jacc.org/doi/10.1016/j.jacbt… #JACCBTS #cvPAH #Inflammation
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Daniel Marcos Gonzalez MD retweeted
Replying to @JasonKatzMD
@JasonKatzMD and @BalimSenmanMD kicking off @SocietyOfCCC shock team think tank with challenging question - how do we shift recognition of CS earlier and promote partnership with our EM colleagues without overwhelming our shock systems?
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Register for SoCCC's Pre-Meeting on Oct. 16 at the 5th Annual Critical Care Cardiology Symposium at @nyulangone! We will be discussing 2026 initiatives and developing task forces for: Patient Registry | Educational Video Library | Mentorship | Association Collaborations/Joint Sessions. Register: nyulmc.org/critcarecards.cme
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📣📣 Important work here!! Further confirming the findings from @DYannopoulos out of Minnesota. In most patients ⬆️ ECMO flows ⬇️PCWP! Please stop referring to peripheral VA ECMO as a “loading” device!
Effect of ECMO Flow Variations on Pulmonary Capillary Wedge Pressure in Patients With Cardiogenic Shock: @JACCJournals 🥸 Very cool manuscript on hemodynamics in VA ECMO - congratulations to the authors on great work. 😱Take a look below
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Made it to Madrid for #ESCCongress2025! Beautiful conference center. Great first day with highlights of digitoxin making a comeback and new valvular guidelines. @escardio @GarimaDahiyaMD
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Daniel Marcos Gonzalez MD retweeted
I am beyond excited for the launch of @SocietyOfCCC podcast SoCCC Pre-Rounds!!! We have some amazing episodes coming up on a monthly basis with exceptional discussants!!!
Only 4 More Days Until… 🎙️SoCCC Podcast #1🎙️ Breaking Down VT Storm: Life-Saving Tips for ICU and CICU Physicians with @ElliottMillerMD If you're a critical care clinician who wants to be prepared when seconds count, this one's for you!🔥 #SoCCC #PodcastLaunch #CriticalCare #VTStorm #ICU #CICU #LifeSavingTips @JasonKatzMD @BalimSenmanMD @AnnGageMD @jameshorowitzmd @CourtneyRCronin @CCCEnthusiasts
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Daniel Marcos Gonzalez MD retweeted
Replying to @SamuelB316
@SamuelB316 is kicking off educational lecture on TEE in Cardiac Arrest @UMN_CCCEdSummit & looking dapper AF 🔑 points ⭐️TTE > pause time than TEE in CPR ⭐️pseudoPEA is a thing ⭐️TEE > resolution, ⬆️ diagnostic accuracy, continuous monitoring ⭐️more to come!
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Impromptu ventilator management workshop. We take care of our buddies 🫁 too!
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ECMO, ECPR, hands-on cannulation! Taught by our very own IC faculty! 🫀🫁⚙️🚑
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What an amazing first day of #CCCES25! An amazing number of trainees and faculty, double the size of last year. Lectures and workshops always impress! @UMN_CCCEdSummit
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Can’t wait to reconnect and learn from the best in our field. Looking forward to #CCCES25!
LET’S GOOOO! Less than a week until the @UMN_CCCEdSummit — where the latest in resuscitation meets the greatest minds in critical care cardiology. Pumped to learn and connect with friends, mentors, and critical care legends! 💥🫀 #CCCES2025 @AndreaElliottUM @cccm_bkl @JasonKatzMD @SocietyOfCCC @CCCEnthusiasts @GarimaDahiyaMD @RanLeeMD @AndrewHigginsMD @BalimSenmanMD @jameshorowitzmd @criticalecho @AdnanKhalifMD @LAlhuneafat @RickyHansra @carlosalviar @AnnGageMD @aniket_rali @DrRobRoswell @ChrisBarnettMD #criticalcare #MedTwitter #MedEd
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