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Nicolas Merke

@nmerke

Cardiologist @dhzcharite, #echofirst #volumetrics #EchoMath #3D

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22.09.2023
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Latest posts by Nicolas Merke @nmerke

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Starke Stimmen für die AG 5 Nucleus-Wahl der @DGK_org geht es um mehr als nur Positionen – es geht um die strategische Weiterentwicklung unserer Fachdisziplin #echosky meets Future
✅ Expertise auf höchstem klinischem Niveau
✅ Leidenschaft für die Lehre
✅ Fokus auf den wissenschaftlichen Nachwuchs

26.02.2026 16:24 👍 0 🔁 0 💬 0 📌 0
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For you if you are dealing with LVAD carriers
Echo usually very demanding
👉 take a look here to our review
www.mdpi.com/2308-3425/13...

11.02.2026 17:54 👍 1 🔁 1 💬 0 📌 0
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For you if you are dealing with LVAD carriers
Echo usually very demanding
👉 take a look here to our review
www.mdpi.com/2308-3425/13...

11.02.2026 17:54 👍 1 🔁 1 💬 0 📌 0

Liebe Freunde*innin der @dgk-org.bsky.social
lasst uns die #echosky Zukunft gestalten mit
Elena Romero Dorta als stellvertretende Sprecherin der
AG 5
Elena steht für den Weg in die Zukunft zur Stärkung der Bildgebung
E – Education
👉 strukturierte Ausbildung, Simulation, Hands-on, digitale Lehre

04.02.2026 18:01 👍 2 🔁 0 💬 0 📌 0

🚨Safe the date next #echofirst edition of #3DEchoBerlin
22.01. - 24.01.2027
👊 Faculty will have some 🆕 members
👉 stay tuned
👊 program will have some 🆕 topics
👉 stay tuned

29.01.2026 16:49 👍 1 🔁 0 💬 0 📌 0

🚨 Last chance!
Online registration for #3DEchoBerlin closing soon ⏳
🫀 Advanced 3D Echo
🎓 EBAC accredited – 23 CME points
Join from anywhere. Don’t miss it. All talks on demand available after the workshop

👉 Register now: shorturl.at/5TsHN

Program 👉 shorturl.at/7pAvE

16.01.2026 05:52 👍 1 🔁 0 💬 0 📌 0

And more

😎Imager’s Masterclass – How to excel in special situations in the OR and cath lab
👉Interactive Case Presentations – Real cases, real learning

07.01.2026 18:12 👍 1 🔁 0 💬 0 📌 0

What you get:
👉Advanced Echo Essentials – Core concepts for everyday practice
👉Mitral & Tricuspid Valves and RV Function
👉Insights into 3D imaging and UEA use in the ICU
👉oHCM: A Real Heart Team Discussion
👉Multidisciplinary perspectives on complex cases

07.01.2026 18:11 👍 2 🔁 1 💬 0 📌 1

You wanted #echocardiography hands-on 3D Echo?
So did everyone else 😎

🟥 3 days hands-on → FULL

🟧 2 days (no hands-on) → 10 seats left
🟩 Online → unlimited

Act fast. #3DEchoBerlin 🫀
ℹ️ shorturl.at/hneIb
Register here 👉 shorturl.at/u6Hwl

07.01.2026 18:11 👍 0 🔁 0 💬 0 📌 1
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3D #echosky is crucial for diagnostic to plan therapy
Workshop by @DHZB_Akademie
23.01. - 25.01.2026 will deep dive into this and beyond
👉 shorturl.at/Feu2mProgram
👉Registration 🔗 dhzb-akademie.de/course/3d-wo...
🗣️Language: english
🪑& 💻Attending: onsite & online
🫳Hands on: GE & Philips (TomTec)

02.11.2025 15:00 👍 5 🔁 2 💬 0 📌 0
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#echosky how to go and unveil MR severity

25.08.2025 19:05 👍 5 🔁 1 💬 2 📌 0
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The afternoon will bring the heart team on the floor discussing cases. Highlight for sure the imager in the next session when showing how to use 3D in several different situations.
Finally on Day 3 real hands 🙌 on with GE & Philips systems (workstation).
🫵 lnkd.in/eWskntkH
🫵 lnkd.in/egK7Tnv4

25.08.2025 19:03 👍 2 🔁 0 💬 0 📌 0
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Day 2 will Focus on TV & RV function
Again live knob clicking but this time usin new Philips machine Before lunch break we will look into oHCM
After lunch we will bring the attention towards ICU topics and how Advanced Echo is helpful e.g. 👉subcostal window for 3D and again 👉 contrast Echo in ICU

25.08.2025 19:03 👍 2 🔁 0 💬 1 📌 0
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After lunch we will focus on MV by answering several important questions as how 👉stress tests can help to unveil severity 👉 how translumination helps to see even small prolapse 👉 screening for M TEER & how to use M TEER even in mixed mitral valve 👉 closing looking again at intracardiac masses

25.08.2025 19:03 👍 1 🔁 0 💬 1 📌 0
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Before the lunch break there is a clinical case corner looking at 👉combined AR & MR, 👉showing how TTE is helpful even if MR jet is eccentric and last but not least looking at 👉intra cardiac masses using echo contrast

25.08.2025 19:03 👍 1 🔁 0 💬 1 📌 0
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Looking for deep dive into advanced #echocardiography ?
👉 23.01. - 25.01.2026 we have great international speaker to guide into the world of Advanced Echo
Starting with 👉 practical Basics followed by a quick live knob clicking on GE machine showing how to get Mitral valve meaningfully nice

25.08.2025 19:03 👍 3 🔁 2 💬 1 📌 0

Look at Aortic ring and aorta ascendens
👉in dilatation central jet due to central coaptation defect
3D:
To identify numbers of cusp and cusp position

13.03.2025 17:53 👍 2 🔁 0 💬 0 📌 0

2D:
👉Look at cusp numbers and leaflet position using aortic annulus as reference plane bicuspid in the younger patients or tricuspid
👉prolapse of RCC
👉Folding of RCC
👉Torn Fenestration (look for oscillating parts in LVOT)
👉Cusp restriction

13.03.2025 17:53 👍 1 🔁 0 💬 1 📌 0

Structural Integrity
👉LVEDS?
👉LV EF / GLS

Why? seen by 2D & 3D TTE first often no need for TEE in diagnostic work up

TEE needed if TTE inconclusive usually to look at valve morphology not for severity grading

13.03.2025 17:53 👍 1 🔁 0 💬 1 📌 0

👉look at LV volumes > RV Volumes as a simple byproduct of LV EF a parameter we all believe in
👉look at forward LVOT & RVOT stroke volume

👉ALWAYS CALCULATE REG. FRACTION AS WE CAN, OFTEN NO NEED TO CALL FOR CMR TO TELL HOW MUCH AND BE HONEST IF YUO DO TEE ON HOW YUO GRADE SEVERITY

13.03.2025 17:53 👍 1 🔁 0 💬 1 📌 0

👉PHT < 200 ms marks severe AR, but be aware of VTI trace, AR v max at least 4m/s, careful if jet is eccentric
👉GL asking for vena contracta best in LPLAX > 6 mm

👉Aorta descending flow reversal important to 👀 at, be careful in aneurysm as reversal flow may be less but still severe AR!

13.03.2025 17:53 👍 1 🔁 0 💬 1 📌 0

How much AR is there?
👉GL do recommend PISA & regurgitation volume & fraction MANY PITFALLS (N. Merke MR & PISA can be applied also for AR) 👉 shorturl.at/O24x3

13.03.2025 17:53 👍 1 🔁 0 💬 1 📌 0

How to ace severity grading of aortic regurgitation using TTE #echofirst 
Follow standardized echo protocol answering the following 
questions:
❓ How much
❓Structural integrity 
❓Why

13.03.2025 17:53 👍 9 🔁 4 💬 1 📌 0
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a man in a suit and tie is standing in front of a crowd of people with the words `` save the date '' . ALT: a man in a suit and tie is standing in front of a crowd of people with the words `` save the date '' .

#3DEchoBerlin Advanced #echofirst Workshop focussing on 3D in #VHD #HF #ICU Echo
23.01. - 25.01.2026
Fantastic esteemed faculty members will share knowledge
Case presentations
Stay tuned we will go online 🔜
@DHZB_Akademie
DHZC Charite

08.03.2025 10:03 👍 7 🔁 4 💬 2 📌 0

IMHO 40 min. at least

25.01.2025 15:29 👍 1 🔁 1 💬 1 📌 0
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Advanced Echocardiography techniques in structural heart disease and heart failure In this workshop we will highlight the use of 3D echocardiography in special clinical settings from guiding medical therapy to mechanical support.

I just registered last minute for the advanced #echofirst course hosted by my dear friend @nmerke.bsky.social with truly superb faculty. The online participation fee is an unmatched bargain for a course at this level.
Please join!

shorturl.at/fs4wr

23.01.2025 06:18 👍 4 🔁 2 💬 0 📌 0
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3D Workshop 24.01.- 26.01.2025 in Berlin
2 days filled with world class speakers diving deep into
Heart Valve Disease & Heart failure focusing on 3D
Day 3 real Hands on doing 3D post processing
👇🏼Registration link (onsite and online):
dhzb-akademie.de/en/course/adva…

18.12.2024 18:24 👍 7 🔁 6 💬 1 📌 0
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EBAC 20 points for attending online our #echofirst 3D Workshop
👉 🔗:bit.ly/3DEchoBerlin
🗓️ 24.01. - 25.01.2025
💶 € 100,00
👊🌎Speaker
🔈 English spoken
All attendees receive Registration
Of course still onsite seats available including hands 🙌 on training

23.12.2024 16:05 👍 4 🔁 1 💬 0 📌 0
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www.instagram.com/stories/drme...

21.12.2024 15:46 👍 0 🔁 0 💬 0 📌 0
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3D Workshop 24.01.- 26.01.2025 in Berlin
2 days filled with world class speakers diving deep into
Heart Valve Disease & Heart failure focusing on 3D
Day 3 real Hands on doing 3D post processing
👇🏼Registration link (onsite and online):
dhzb-akademie.de/en/course/adva…

18.12.2024 18:24 👍 7 🔁 6 💬 1 📌 0