Joined February 2013
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🌟 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
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Nicolas Merke retweeted
We are only waiting for YOU 🫵🏻 as #echofirst lover! Learn ALL you need to know about #EchoInCardiomyopathies - great speakers and a better atmosphere! Come to Leipzig or join online on Sunday, 28th of June! @EACVIPresident @DrGEMandoli @Echo_DGK_GER @DHZB_Akademie @YoungDgk
Don’t miss this Opportunity #echofirst finest masterclass Online or also onsite Sunday 28.06.2026 echokardiographie-leipzig.de…
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#echofirst debate is incoming Can chronic severe mitral regurgitation truly be asymptomatic? If “severe” implies that more than 50% of the stroke volume is regurgitated, shouldn’t that inevitably lead to symptoms? Or does an asymptomatic patient simply not have truly severe MR?
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Nicolas Merke retweeted
Playing with our new echo machine. Impressive!!!! @ase, @NMerke @marciomp50 @RODRIGOVISCONT1 @iamritu @masiqueirajr, @jmba55 @pastorluisps @josecaferca
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Don’t miss this Opportunity #echofirst finest masterclass Online or also onsite Sunday 28.06.2026 echokardiographie-leipzig.de…

🌟 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
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The points I am trying to make here are that we often face situations where it is difficult to put symptoms into MR context. More often we face MR quantification by eyeballing or using only few parameters without plausibility check! I am well aware as #echofirst operator how difficult it is to quantify severity of MR
What is #echofirst severe asymptomatic MR? What NYHA class should be considered symptomatic? Is NYHA class II already enough to call MR symptomatic? @echo_batman @dr_benoy_n_shah @alexsfelixecho @alex1708ander @iamritu
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Nicolas Merke retweeted
Yes if ⬇️ exercise tolerance & exertional dyspnea symptoms are attributable to the MR makes it NYHA class II; harder to know if co morbid conditions that also give sob like obesity or COPD, in which case, exercise Echo to check for amount of MR with exercise & if ⬆️ in PAPs
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What is #echofirst severe asymptomatic MR? What NYHA class should be considered symptomatic? Is NYHA class II already enough to call MR symptomatic? @echo_batman @dr_benoy_n_shah @alexsfelixecho @alex1708ander @iamritu
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Nicolas Merke retweeted
Replying to @NMerke
📢 Join us at the #EchoDGK2026 for the @EACVIPresident -endorsed Satellite Symposium: "Echocardiography in Cardiomyopathies: Methodological Precision for Better Patient Care" 🎓 International faculty from 🇩🇪, 🇮🇹, 🇧🇪 & 🇪🇸 Register now: echokardiographie-leipzig.de… @eromerodorta
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Nicolas Merke retweeted
Above all use volumetrics #echofirst @NMerke
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#echofirst calendar 🗓️ 3D Mitral valve TTE vs TEE
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Happy to be there too #echofirst
#EACVI2026 | Milan | 3–5 Dec 2026 🇮🇹 💫 An outstanding congress with a stellar international faculty! The ultimate cardiac imaging event in the 🌍 📣 Clinical case submissions are still open until 2 June — submit yours now! 🏃‍♀️💨 🌟 Cutting-edge scientific sessions and latest innovations in cardiovascular imaging 🌟 Inspiring clinical cases and high-level educational content 🌟 Unique networking opportunities with experts and colleagues from around the world 🌟 Hands-on learning, practical insights, and future perspectives in multimodality imaging 🌟 The opportunity to experience Milan — a vibrant, elegant, and beautiful city with a fantastic venue Don’t miss the chance to be part of #EACVI2026 😀🚀 @escardio @NAjmoneMarsan @rmanka_ @EchoSoliman @RFontesCarvalho @Ph_Bertrand @anatimoteo46040 @andgiannopmd @PezelT @RiccardoLiga7 @AnnaBaritussio @Sarah_Moharem @denisamuraru @s_e_petersen @VictoriaDe32503 @fiore_corrado @NMerke @sorina_mihaila @echo_stepbystep @alex1708ander @dr_benoy_n_shah @echo_batman @eromerodorta @alcantaramonica @iamritu @lpbadano #Cardiology #CVImaging #EchoFirst #whyCMR #CCT #CVNuclear #ThinkPet
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Nicolas Merke retweeted
Endless thanks to @argulian and @EchoSoliman for this comprehensive work!! 🤝
Continuous-wave Doppler interrogation in valvular heart disease: pearls and pitfalls | European Heart Journal - Imaging Methods and Practice | Oxford Academic academic.oup.com/ehjimp/adva…
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This is getting 🔜 a must read in all #echofirst labs Using and knowing how to use CWD is so important, not knowing its pitfalls and simple rules leads to misdiagnosis Huge respect to the authors @echo_batman @argulian & @EchoSoliman
Continuous-wave Doppler interrogation in valvular heart disease: pearls and pitfalls | European Heart Journal - Imaging Methods and Practice | Oxford Academic academic.oup.com/ehjimp/adva…
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Lots of pearls in your paper Love ❤️ this on FMR in depressed LVEF as we need to understand that EROA > 0,4 & Reg. Vol > 60 requires VTI of 150 cm which is unlikely Me is trying to explain those crazy numbers that high Reg. Vol. do require very big LV volumes which is unlikely
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Nicolas Merke retweeted
If you will be in Paris, I would love to meet, may be even do a 30 second video on where you are from and your impressions on #EuroPCR if you are not coming to Paris this year, follow us on Twitter and other platforms for the latest science @PCRonline
#EuroPCR 2⃣0⃣2⃣6⃣ is just around the corner! From Paris to the world, stay up to date with what's hot & new in #interventionalcardiology by following our super-duper #SoMe team! @O_Azizy_MD @BenekiEirini @IlkeCelikkale @MiChen__ Alison Dahlmann @Julio_Farjat @stefano_garzon @IainGil @hrt01a @gmcioffi @mornei2011 @Hragy @neila_sayah @HelleSoholm @Sticchi_Alex @Kelly_J_Victor #Science #Clinicalresearch #Latebreakingtrials
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For sure an #echofirst course to attend, please don’t miss Highly recommended
𝐄𝐜𝐡𝐨 𝐒𝐮𝐫𝐠𝐞𝐫𝐲 𝐕𝐈𝐈 𝐄𝐝. The 𝐂𝐨𝐮𝐫𝐬𝐞 𝟐𝐃/𝟑𝐃 𝐓𝐄𝐄 dedicated to perioperative assessment of valvular heart disease, is coming! 👉 Frontal Lessons 👉 Anatomic specimen 👉 3D echo workstations 👉 Wet Lab pig’s heart 👉 Mr TEEmothy simulator 👉 Hands-on for SHD “We are ready for a wonderful educational experience” 📍22-23 May Santa Maria Hospital - GVM, Bari
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We do talk a lot about quantification of severity by using our #echofirst tool box, but rarely we talk about our machine settings 👉color doppler needs good resolution for VC and even better for 3D VCA 👉 color doppler often shows color bleeding meaning that color exceeds tissue by overestimating VC or in 3D VCA Never using low FPS for color doppler most simple trick is using tight and high color box 👉 FPS goal 25-30 at least Never trust VC or 3D VCA in low FPS acquisition 👉 use reduced low velocity reject (wall filter) 👉 adapt gain settings 👉 reduce smoothing 👊more tips incoming @echo_batman @argulian
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