Nicolas Merke

Starke Stimmen für die @Echo_DGK_GER 🩺✨ Bei der anstehenden Nucleus-Wahl der @DGK_org geht es um mehr als nur Positionen – es geht um die strategische Weiterentwicklung unserer Fachdisziplin #echofirst meets Future Mit @StellEkaterina , @AydanEwers , @eromerodorta @DrTrobs , @JanKnierim , @OAB1967 und tritt ein Team an, das zeigt, wie moderne Kardiologie aussieht: ✅ Expertise auf höchstem klinischem Niveau ✅ Leidenschaft für die Lehre ✅ Fokus auf den wissenschaftlichen Nachwuchs Wer Innovation und Verlässlichkeit in der Kardiologie fördern will, kommt an diesem Team nicht vorbei. Meine Empfehlung steht! 🤝

@Feff93 @ritapavasini87 @ElisabettaBex @GiuliaPassarini 👍

Tricuspid satisfaction 🫀 #echofirst @ritapavasini87 @ElisabettaBex @GiuliaPassarini @NMerke (I know, not a perfect ALAMO )

@sumanbiswasmd @ACCinTouch @Cardiology @UCSFCardiology @ACCmediacenter 🎯Be humble 🎯 Talk to surgeons 🎯 know & understand #echofirst 🎯 be always respectful 🎯 ask if you don’t know

Dear Cardiologists, For a new Cardiology Fellow starting in few months, could you please share any advice regarding books, courses, videos, or words of wisdom. Always grateful. Thank you! 😊 #medtwitter #cardiotwitter @ACCinTouch @Cardiology @UCSFCardiology @ACCmediacenter @CardiologyToday @BSCCardiology @American_Heart @MayoAZCVFellows @CreightonCards @MHcards @CCFcards @SrihariNaiduMD @UCSDCardFellows

@sumanbiswasmd @ACCinTouch @Cardiology @UCSFCardiology @ACCmediacenter 🎯Be humble 🎯 Talk to surgeons 🎯 know & understand #echofirst 🎯 be always respectful 🎯 ask if you don’t know something

@bwoody58 @Irina67790690 @alex1708ander Numbers are just numbers but that does not mean to ignore them As #echofirst asset we do present numbers & clinical picture for heart team discussion In those cases we usually see Reg. Fraction around 40% or more

@Irina67790690 Nice imaging AR jet shown down to tail which is hard. Jet width in LVOT well shown. Dysmorphic valve big LV ⬇️ function. So @NMerke @alex1708ander if the AVA came out at 1.3 cm2 & AR RV 25 ml say would you not operate or would you ignore numbers & say this is surgical disease

Eccentric aortic regurgitation❗️ significant eccentric AR jet with a moderate AV gradient, dilated LV and reduced LV ejection fraction.

@Irina67790690 This is very nice imaging #echofirst is key 🔑 to deciding therapy therefore the surgeon applies guidelines. Relevant AR in reduced & dilated LV is good case to discuss with surgeon. But the basis of discussion is always having all parameters defining severity & clinical pic

@mirvatalasnag @djc795 @TCT_ME_ @Abdul_alkindy @RHAAttar @alexsfelixecho @SachinGoelMD @kalazizimd @mhammadah @hvanspall @dr_benoy_n_shah @ABeneduceMD @cardiojaydoc02 @GreggWStone @iamritu Guidelines not very helpful with that wish….

@NMerke @djc795 @TCT_ME_ @Abdul_alkindy @RHAAttar @alexsfelixecho @SachinGoelMD @kalazizimd @mhammadah @hvanspall @dr_benoy_n_shah @ABeneduceMD @cardiojaydoc02 @GreggWStone @iamritu We need more echo specialists than IC honestly

Medical therapy works 80M w Severe MR sent for evaluation for MTEER After optimizing GDMT 👉TEE Here comes the difficult part: convincing pt/family procedure unnecessary after being referred for it @djc795 @TCT_ME_ @Abdul_alkindy @RHAAttar @alexsfelixecho @SachinGoelMD

50% RF for AR came from MR papers. AR leads to eccentric LV dilatation (unlike MR) It’s hard to quantify on 2D echo. #whyCMR literature shows RF cut off threshold much lower than currently in practice - meaning- Cardiac symptoms and significant LV remodeling in AR requiring AVR occur frequently in patients with less severity than currently proposed jacc.org/doi/10.1016/j.… #Echofirst

🚨Nucleus & stellvertretender Sprecher*in der @Echo_DGK_GER #echofirst können ab Montag, 16.03.2026 gewählt werden Wir können gemeinsam den Grundstein für die Zukunft der kardiovaskulären Ultraschallbildgebung legen – zusammen mit @eromerodorta und ihrem neuen Team. 👉 Neue Ausbildungskonzepte entwickeln und etablieren 👉 Junge Kolleg*innen aktiv in die Kongresslandschaft einbinden 👉 Internationales Networking für den Nachwuchs aus Klinik und ambulanter Versorgung weiter stärken Eine große Chance, die nächste Generation der Echokardiographie und kardiovaskulären Bildgebung nachhaltig zu fördern. Wählen wir die neuen Gesichter der AG5 der DGK

📣 Alle Mitglieder der AG5 der DGK sind zur Online-Wahl aufgerufen!! 🗓️ 16.03.-27.03. ✅ Stellv. Sprecher/-in und Nukleus 😎 Ich kandidiere als stellv. Sprecherin - mein Fokus: Ausbildung, Nachwuchsförderung, Qualität sowie eine stärkere nationale und internationale Vernetzung

My most favorite meeting during the whole year by Dr Kostas Papadopoulos..This year again online, but next year I ll be there together with my friends again for sure!!! @fiore_corrado

My point here was to recognize if we report severe chronic AR using #echofirst TTE there must be high LVOT SV and consequently in isolated severe AR same high LV SV 😎 Important here is in severe chronic AR 50% of LVOT SV is to found in RVOT SV 👊 Will this be enough not to be in or near CS? So if we report severe this is what we need Of course there is more: 👉 LVESD 👉PHT (if Jet is central) & PISA 👉 Jet/LVOT ratio 👉 holodiastolic flow in DA 👉 Least not last lower RVOT SV & RVSV

@alex1708ander @argulian @eromerodorta @iamritu @ASE I start: In isolated severe AR we will have high LVOT SV and high LV SV LVOT SV = LV SV

What are needed #echofirst parameters in chronic severe AR? @alex1708ander @argulian @eromerodorta @iamritu @ASE

3D TEE with MPR focusing on the aortic valve 1/2

@alex1708ander @sudarshanballa @WvuCvFellows @argulian @CASivaram1 @harshi_md @iamritu @EACVIPresident We also need to know structural changes as LV & LA Dilatation and pulmonary pressure level at rest

@sudarshanballa @WvuCvFellows @argulian @CASivaram1 @harshi_md @iamritu @NMerke To assess the MR 3 questions should be answered: “Why”, “Where” and “How much”. “Why” & “Where” are answered by 2D/3D echo, to answer the third one a volumetric method is needed #echofirst @NMerke @EACVIPresident

What is your ideal parameter of choice to assess MR severity here? #echofirst @wvucvfellows @alex1708ander @argulian @CASivaram1 @harshi_md @iamritu @NMerke

@CardioNP @christech07 @Berci Anyway good prove of concept We need to embrace new development and use of technology #echofirst always depends on image quality Often it might be sufficient to screen for further need of diagnostic

@christech07 @Berci @NMerke Maybe in someone w good windows, but if you need any alternative views would expect it might be difficult.

A low-cost and expert-driven medical technology is being used in rural areas in Australia! The machine is operated by a sonographer remotely (using a gaming controller) and helps perform an ultrasound examination. Doctor shortages shouldn't mean that patients have to travel more (sometimes for no medical reason), but to use technologies that can extend the reach of medical care. This is a perfect example of that!