Nicolas Merke
@NMerke
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Cardiologist @dhzcharite , #echofirst #volumetrics #EchoMath #3D
Germany @dhzcharite
Joined February 2013
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Pinned Tweet
#3DEchoBerlin
#echofirst
#3D
Workshop organized by
@DHZB_Akademie
&
@dhzcharite
is happening again, ust take a glimpse at the program
🌍 faculty
#3D
#UEA
#STI
On Day 3 hands on with real 3D Dataset to learn and dive deep in MV& TV as well as LV & RV using 3D
All lectures
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Good luck 🍀 to
#cardiotwitter
🥰 the best cardiologic tool which is and stays forever
#echofirst
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Hello to all my friends. I am taking a period of leave on
#echofirst
&
#cardiotwitter
. My wife got bad news after breast cancer screening. So will stay away from everything what is not concerning but her. Good by to everyone.
My account is on hold until further notice
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#echofirst
blood speckle tracking showing diastolic mitral inflow and systolic flow through LVOT & backwards to LA
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Thank to your input dear
@KemalogluOz
regarding imaging of PV me is doing way more
#echofirst
of PV with 3D
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Usefulness of
#echofirst
TEE in CPR. Check your CPR quality and rule out pathology causing cardiac arrest.
@AGIK
@DGK_AG3
@ASE360
@BSEcho
@iceman_ex
@iyacpeople
@KemalogluOz
@iamritu
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With new profile pic will express my thank to all my > 10000 followers on Twitter
#cardiotwitter
and
#echofirst
are becoming more & more the learning and teaching platform of the future. Another important point is networking and how easy it is to contact everybody
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10
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#echofirst
showing left atrial myxoma couple years back had surgery for right atrial myxoma
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Today I have been appointed as echo teacher from the German Ultrasound Society (DEGUM).
Me very proud being Echo Teacher
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#ScaryAssCollection
showing what can happen during CPR when
#echofirst
is giving the real picture.
@nat_echo
@ASE360
@iceman_ex
@EduPOCUS
@KemalogluOz
@iamritu
@JGrapsa
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#3DETwitterAtlas
One of my cases of today with GE E95. Seems to me something similar to an ancient fish...
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So much going wrong here captured in just one clip. That is what makes
#echofirst
so unique & IMO beautiful
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Indeed very beautiful
#echofirst
using
#3D
Haven't found fibroelatoma but found this beauty...
Sorry, I couldn't resist to compete.
#3DEcho
fibroelastoma of the pulmonary valve acquired today by
@gavazzoni_mara
and
@cascella_andrea
in our lab.
@VDelgadoGarcia
@KemalogluOz
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Is this my first
#echofirst
not bicuspid, tricuspid or quadricuspid aortic valve?
@KemalogluOz
@BSEcho
@dr_benoy_n_shah
@YoungDgk
@iamritu
@The_echo_lady
@rajdoc2005
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#echofirst
TTE & TOE showing P2 Flail
@BSEcho
@ASE360
@Echo_DGK_GER
@denisamuraru
@EACVIPresident
@lpbadano
@ManfredNelles
@KardiologieHH
@iamritu
@RodrigogpLima
@KemalogluOz
@drzgezdentok1
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35
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What do you think about the mechanism of MR, pre operative case for isolated CABG
#echofirst
@esrakaya_dr
@VDelgadoGarcia
@eromerodorta
@HenrykDreger
@FabianKnebel
@AHagendorff
@DonalErwan
@AUnbehaun
@KemalogluOz
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#echofirst
case in need of help. No clinical signs of infection
#cardiotwitter
any 💡?
@mirvatalasnag
@JGrapsa
@denisamuraru
@VDelgadoGarcia
@iamritu
@ASE360
@BSEcho
@batman_echo
@dr_benoy_n_shah
@FabianKnebel
@AHagendorff
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3/3 blood pressure is the most impressive one! One reason why quantification is done by transthoracic echocardiography- TOE/TEE to be used for therapy planning
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#echofirst
teaching course b4 starting the practical part! First rule NO CABLE TOUCHES FLOOR NEVER
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#echofirst
showing mitraclip and LVOT with aortic valve in 3D with TTE
@ASE360
@BSEcho
@DGK_org
@nat_echo
@The_echo_lady
@rajdoc2005
@mirvatalasnag
@iamritu
@purviparwani
@KardiologieHH
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#echofirst
loop for fellows how to distinguish pleural & pericardial effusion. Be aware not always so clear. 👀 at DA
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#echofirst
is 🔑for IC & SC to choose correct device or surgery procedure in
#SHD
#MitralValve
#TricuspidValve
Workshop on Screening & Guiding & Hands on 20.01. to 22.01.2023
@dhzberlin
👉Programm here:
👉Registration possible here:
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MV inflow pattern with L-wave in diastolic dysfunction
#echofirst
meets DC universe
@nat_echo
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#echofirst
fellows & trainees please do never stop at your first image which seems to be good, aim always to perfection. Once you got your view try to get a better image. Your quality is your business card.
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#echofirst
showing what? Without 3D!
@iyacpeople
@iamritu
@mmamas1973
@ASE360
@KardiologieHH
@drzgezdentok1
@BSEcho
@kaschenke
@rajdoc2005
@eromerodorta
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🚨📢 don't miss your opportunity to join us on site at
#3DEchoBerlin
and get one of the last seats or join us online (almost unlimited) by
@DHZB_Akademie
@dhzcharite
19.01. - 21.01.2024 on site
19.01. - 20.01.2024 online
We will work on use of
#echofirst
#3D
in
#HF
and
#VHD
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What do you think
#echofirst
friends about my 3D challenge TTE vs TEE in heart valve disease. Me doing TTE & anesthesiologist in OR doing TEE during surgery
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#3DETwitterAtlas
Mitral Valve pathology in 3D with surgical view & with dual view technique (atrial and ventricular side). Wonder if this depiction of the pathology is helpful for the surgeon or would 2D suffice for surgical planing?
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Quantification of severity in FMR by
#echofirst
is important & tricky. Need to take into account rhythm, heart rate & blood pressure. Have here some examples 1/3 MR & rhythm
@YoungDgk
@DGK_org
@AGIKinterv
@dr_benoy_n_shah
@iamritu
@mirvatalasnag
@KardiologieHH
@rajdoc2005
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#echofirst
is very dynamic as known classification is changing due to better imaging and progress in therapy as seen in description of tricuspid valve morphology & severity (grading I-V). Are you already updated?
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Good morning here a 3D image from our OR (done by anesthesiologist; I just added some light effect) very clear image of MV
#3DETwitterAtlas
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To all my friends on
#cardiotwitter
with special interest in
#echofirst
my 12 images of 2021. And again we were not able to meet IRL. Let’s hope in 2022 to be the very best year with real meetings. Can´t wait to see you all for real. Wish y´all a very happy new year
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#echofirst
MR quiz, share your opinion as fellows & experts. All severe or what?
@ManiVannanheart
@iamritu
@NephroP
@AHagendorff
@alex1708ander
@FGraziani_Grace
@dr_benoy_n_shah
@BSEcho
@ASE360
@YoungDgk
@DGK_org
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#echofirst
1/3 Beautiful example of ASD in 2D TEE- Notice the washing out phenomena or neg. contrast due to left to right shunt. Wait for 3D
@DGK_org
@AGIKinterv
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What do you do in your
#echofirst
lab with symptomatic pat. with only mild to moderate MR (and no other cause of SOB)? GDMT in place! Try handgrip
@YoungDgk
@ASE360
@AGIK
@BSE
@FabianKnebel
@AHagendorff
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#echofirst
is using TTE and TEE for tricuspid valve. Usually prefer TTE for morphological analysis of TV. Same for quantification of severity do use TTE and not TEE. TTE 3D has improved so much that we are doing less TEE for dx.
@iamritu
@mirvatalasnag
@AHagendorff
@KemalogluOz
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TEE
#echofirst
in CPR useful for so many reasons. Shows cause of arrest, shows effectiveness of CPR (here mechanical compression not effective, so reconsider reposition or go by manual compression). Guiding in ECMO implant. And showing how fast SEC is forming
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Combined aortic valve disease
#echofirst
interesting doppler curve
@strain_rate
@load_dependent
@dr_benoy_n_shah
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#echofirst
case solution. Severe AR due to BAV (prolapse RCC) with jet directed su AML with pseudo prolapse A2 (called like that?). LV Dilatation more suitable with AR then with MR as LV EF isn't depressed. Grading done using SV LVOT & RVOT, looking at DA. PML hypoplastic.
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1/3
#echofirst
2D (no 3D needed here!) quantification of severity of MR (especially in functional) requires attention to hemodynamic status as rhythm, heart rate & blood pressure
@YoungDgk
@dgk
@kaschenke
@iamritu
@KardiologieHH
@rajdoc2005
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If you have some 3D glasses somewhere, please go and get them. Found this images from our OR.
#3DTwitterAtlas
#love3D
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As enthusiastic
#echofirst
imager this is my way to see & bring some good out of 2020 one clip for each month. Next year will be better when we all got our vaccine shot and can meet in IRL. Cannot wait to get to know y'all personally.
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Different
#echofirst
ways to image Tricuspid with 3D TTE full volume & zoom preparation and TEE
#Berlin3DEcho
@ASE360
@BSEcho
@Echo_DGK_GER
@esrakaya_dr
@VDelgadoGarcia
@eromerodorta
@guilbon
@Sticchi_Alex
@KemalogluOz
@ANazmiCalik
@NAjmoneMarsan
@dhzcharite
@donoxorn
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#EACVI2023
is your imaging meeting of the year come and meet amongst others
@denisamuraru
@fiore_corrado
@alexsfelixecho
@echo_stepbystep
& all the rest of the
#echofirst
gang
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Save the date 02.09.-04.09.2022
#echofirst
3D hybrid (presence & online) workshop all there is to know on Mitral & Tricuspid valve great faculty
@JGrapsa
@KemalogluOz
@AHagendorff
@eromerodorta
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Good morning
#echofirst
nice bicuspid aortic valve in 3D TTE
#TeamFlexiLight
@eromerodorta
@seb_spethmann
@Steph_Achenbach
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18
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Fellow
#echofirst
#ICU
case
@DGK_AG3
@YoungDgk
@Echo_DGK_GER
look carefully
- unstable with higher need for inotropic therapy
- rising lactate levels
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#3DETwitterAtlas
look this view (3D LAX) into the LA seeing clearly where the LAA is located (in this case closed with watchman device)
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2/3 TEE very helpful to demonstrate effectiveness of chest compression, in this case the mechanical CPR could not be positioned perfectly, so here decision to go manual. In our experience normally mechanical CPR works just fine
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#EACVI2023
now
@Ph_Bertrand
lecturing on RV and PH: tips and tricks for an optimal diagnosis
👀 at dimensions of RV
👀 at septum (flatten) systolic or diastolic or both
👀 McConnel WMA of RV (+Apex/- free wall)
👀 at Pressure TV vmax
Better 👀 acc. time PV pw (PAT)
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#echofirst
#3DETwitterAtlas
Today finally 3D again after holiday... Nothing fancy just nice
@FGraziani_Grace
@sbs
@busato_s
@mariovar55
@iamritu
@drzgezdentok1
@echotainment
@purviparwani
@KPujdak
@DGK_org
@AGIKinterv
@EchoAshwag
@LopezOpitz
@EchoCharli
@ASE360
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