Nicolas Merke

🌟 The International Highlight of the German Echocardiography Congress 2026 🌟 Dear #echofirst Enthusiasts, We are delighted to invite you to what will undoubtedly be one of the highlights of this year’s congress: an outstanding international symposium bringing together renowned experts in cardiovascular imaging from across Europe. A special thank you to @eromerodorta, whose initiative made this unique collaboration possible. 📅 29 June 2026 🌍 AG5/DGK meets EACVI (European Association of Cardiovascular Imaging) 🎓 Teaching Course & Masterclass ✅ Officially Endorsed by the EACVI This exclusive session will provide state-of-the-art education, practical insights, and expert perspectives from internationally recognized faculty: 🔹 @PhilippeUnger 🔹 @DrGEMandoli 🔹 @StellEkaterina 🔹 @DrTrobs 🔹 @michetomaselli 🔹 #JoschaKandels 🔹 @echo_batman 🔹#RubénFernándezGalera

@DHZB_Akademie "3D Advanced Echocardiography Workshop" (happening January 22- 24, 2027) makes it clear why this is way "more than just 3D." The program bridges advanced imaging with intensive clinical realities”specifically targeting ICU management, complex valvular heart disease, mechanical circulatory support (MCS), and heart failure. Perfect for clinicians who want practical utility, not just pretty 3D pictures. Yes, it’s a 3D workshop but we are taking it straight to the ICU At the #echofirst Workshop , we aren't just looking at static valves. We’re tackling the tough cases: Echo in ICU: Deep dives into ECMO hemodynamics and using echo to guide acute fluid management.  Critical Decision Making: Using acute heart failure echo to trigger therapy (from diuretics to MCS).  Live Knobology: Real-time mastering of GE & Philips systems. Register & view the full program: backend.dhzb-akademie.de/app/uploads/20… Just take a look at this GOAT line up 🔝 @alex1708ander @alexsfelixecho @dr_benoy_n_shah @iceman_ex @echo_batman @FGraziani_Grace @VictoriaDe32503 @Ph_Bertrand @StellEkaterina @echo_stepbystep @fiore_corrado @LunaGargani @ArgaizR @papadocardio @eromerodorta @mauripieroni72 @KemalogluOz @JanKnierim @echotainment @DonalErwan @FH_Verbrugge

Venous excess ultrasound score detects systemic venous congestion in a left ventricular assist device patient: A case report wjgnet.com/2307-8960/full…

My #echofirst Approach to PISA EROA in Mitral Regurgitation: A Critical Review doi.org/10.36660/abcim…

@echo_batman Blood cyste

What’s the diagnosis in 79F?

@bundeskanzler @DFB_Team Welche Spiele hat unser @bundeskanzler gesehen, sicher nicht die, die wir gesehen haben

Auch wenn das Ausscheiden schmerzt: Was für ein Spiel, @DFB_Team! Mit eurem Einsatz und Teamgeist bei dieser WM habt ihr unser Land begeistert. Wir sind stolz auf euch.

Die Mannschaft @DFB_Team is leaving the #FIFAWorldCup2026. IMO, we never had really a chance to go far. Winning the first game is nowhere near enough to succeed in a competition at this level. We need to go back to selecting players who are truly fit to play, and we need a much stronger defense. In every game, it felt like we were in danger whenever the opposition got past our back line. You win a World Cup with a strong defense and an even stronger attack. Right now, we have neither.

wtf GER PAR 0:1

Comparable total and forward LV stroke volumes (LV SV and LVOT SV, respectively) indicate the absence of significant regurgitant valvular heart disease. Agreement with the RV stroke volume (RV SV) serves as an additional quality check for measurement consistency #echofirst

Where is @YoungDgk at #echofirst congress in Leipzig #EchoDGK2026

📣please read and share our latest work on LACI in #ATTR-CM💫 🔹 ~200 pts, single center 🔹LACI is associated with more advanced #CMP 🔹⬆️ LACI is associated with worse long-term survival 🧩 LACI is a promising tool for risk stratification eur01.safelinks.protection.outlook.com/?url=https%3A%…

@echo_batman Joining #EchoDGK2026 our German #echofirst congress by bike?

8 years after my (last) professional cycling race, my cycling jump suit still fits….😉

@dr_benoy_n_shah @senguptasp @iamritu @purviparwani @rajdoc2005 @DrMarthaGulati @HiteshiKc @aayshacader @SachinGoelMD @chiragbavishiMD @ditchhaporia My dear friend, I sincerely hope that at #EACVI2026 in Milan you'll show up in exactly the same outfit again. And please don't forget the famous shoes—they've already achieved conference icon status! 😄👞🇮🇹 @alexsfelixecho @NMerke

@Hragy get and stay well

I had 2 small growths on my face that were very overdue for surgery and biopsy, today,our plastic surgeon had an empty slot, i went up from the cath lab to the operating room, had a 45 minute procedure,went back to work immediately- i had to take 2 Panadols for pain..workaholic?

🌟 The International Highlight of the German Echocardiography Congress 2026 🌟 Dear #echofirst Enthusiasts, We are delighted to invite you to what will undoubtedly be one of the highlights of this year’s congress: an outstanding international symposium bringing together renowned experts in cardiovascular imaging from across Europe. A special thank you to @eromerodorta, whose initiative made this unique collaboration possible. 📅 29 June 2026 🌍 AG5/DGK meets EACVI (European Association of Cardiovascular Imaging) 🎓 Teaching Course & Masterclass ✅ Officially Endorsed by the EACVI This exclusive session will provide state-of-the-art education, practical insights, and expert perspectives from internationally recognized faculty: 🔹 @PhilippeUnger 🔹 @DrGEMandoli 🔹 @StellEkaterina 🔹 @DrTrobs 🔹 @michetomaselli 🔹 #JoschaKandels 🔹 @echo_batman 🔹#RubénFernándezGalera

Calling all Doppler lovers… Can you identify: The TEE view? The valve in question? #echofirst @iamritu @NMerke @CASivaram1 @DrRajeshG1 @argulian @echo_batman @EchoSoliman @StellEkaterina @echo_stepbystep @alexsfelixecho @KemalogluOz @kevin_domingues @dr_benoy_n_shah @bwoody58

My example is more an exercise to see what #echofirst can do. Often we do evaluate what ever we see by eyeballing or using one single parameter Another point is that in complex lesions we adopt TEE to evaluate but not using real quantification but saying this is severe and the other lesion is moderate! Or we call #WhyNotCMR not knowing how CMR is quantifying (BTW using volumetric measurements!) I need to admit that CMR in expert hands has advantages over echo

@NMerke @alex1708ander @bwoody58 I think “RV” SV is not reliable because the LV contributes to the RVOT SV and part of TR volume in systole. Agree with VSD shunt calculation lvsv- lvot sv when no no sign regurg.

#echofirst can get very complex Let’s see a case with relevant post myocardial infarction VSD (l-r shunt) & relevant TR due to RV Dilation How would you measure: 👉Shunt Volume 👉 TR Reg. Volume

@alex1708ander @bwoody58 @echo_batman Very correct! PISA in TR FCZ in ca 30% or even more not circular.

@NMerke @bwoody58 @echo_batman Limitations of RVol TR by PISA #echofirst

@alex1708ander @bwoody58 @echo_batman Very good point!

@NMerke @bwoody58 @echo_batman Even ChatGPT recognizes the limitations of PISA. Once you add a post-MI VSD and functional TR, the assumptions behind hemispheric flow convergence and a fixed regurgitant orifice start to unravel. Conservation of mass still works; PISA often becomes the weakest link.

advanced #echofirst Why not LV SV - LVOT SV = VSD Shunt in case of L-R shunt (no AR or MR) @echo_batman What if RV SV is 72 ml, PISA EROA TR is 0,6 qcm & Reg Vol 29 ml LV SV 47 ml, LVOT SV 34 ml 👉RV SV 72 ml - LV SV 47 ml = 25 ml (als TR?) 👉 RV SV 72 ml - TR Reg Vol. 25 ml = eff. RVOT SV 47 ml 👉 RVOT SV 47 ml - LVOT SV 34 ml = Shunt 13 ml At the end would think that TR Reg. Vol. is correct but Shunt volume is overestimated (probably is LVOT SV to low!) Main problem beyond TR or Shunt is RV failure

@NMerke The RV fill from RA & LV shunt. Unless there is R to L then RV SV leaves via RVOT & TR. So LV SV - RVOT SV must = TR RV Maybe l’m missing something I’m old 😬