David T Linker

Cardiologist @UWMedHeart @UWCardiology FACC FESC FASE New book: "High Quality Transesophageal Echocardiography" pub Jan2022 @[email protected]

[David T Linker @DavidTLinker]

Very excited about publication by Elsevier of my textbook “High Quality Transesophageal Echocardiography” teaching details on how to do the procedure, and tips for an effective, optimized examination. #HighQualityTEE #MindfulEcho #echofirst #echotwitter

[David T Linker @DavidTLinker]

Are TAVRs being used too much, or not enough? A new article in Am J Cardiol has some clues as explained in my editorial:
https://t.co/v7ZSzt4CFa

[David T Linker @DavidTLinker]

Excited to chair ASE 2023 Scientific Session on Echo Heard Round the World. #ASE2023 @ASE360

[David T Linker @DavidTLinker]

I am speaking at ASE 2023 Scientific Sessions. Please check out my talk if you're attending the event! #ASE2023 @ASE360 - via #Whova event app Note new time

[David T Linker @DavidTLinker]

@DavidLBrownMD I am not a proponent of calcium screening, but it seems that there are two directions for use: Advising a statin for someone with otherwise low risk but high CAC, or not giving a statin to someone with otherwise high risk but low CAC. I wonder which direction this study leans?

[David T Linker @DavidTLinker]

Another excellent session at the Future Hub on Jump Starting Your Idea, discussing regulatory issues, funding and more. #ACCInnovation #ACC23 #WCCardio

[David T Linker @DavidTLinker]

Excited to be at #ACC #WCCardio #ACCInnovation Great presentations on the way our profession is changing and how should change.

[David T Linker @DavidTLinker]

@DurowojuRasheed @AdvancedHFBuddy Good thinking!

[David T Linker @DavidTLinker]

Left to right Doppler flow through a PFO on transthoracic echo. This tracing gives us a clear indication of what pathology? #MindfulEcho #echofirst #echotwitter

[David T Linker @DavidTLinker]

@Allam93 Significant MR is the answer. The high gradient is ONLY in late systole.

[David T Linker @DavidTLinker]

@Deya_AlkhatibMD Very good! Shows that the high pressure gradient is ONLY during late systole => Significant MR.

[David T Linker @DavidTLinker]

@ArisKaratasakis @AdvancedHFBuddy Could be. But more general answer is significant MR.

[David T Linker @DavidTLinker]

@MDBeni @VerwerftJan Yes. At least moderate to severe MR.

[David T Linker @DavidTLinker]

@VerwerftJan Bingo. Late increase of velocity shows that there is a late increase in LA pressure which can only be due to significant MR.

[David T Linker @DavidTLinker]

Looks like severe tricuspid regurgitation, with systolic flow reversal into hepatic veins. The flow starts before the QRS, just after the P wave. This is due to the atrial kick. RV dysfunction and elevated filling pressure. Only mild to moderate tricuspid regurgitation.

[David T Linker @DavidTLinker]

Hepatic venous Doppler shown below. How much tricuspid regurgitation do you think there is? Why? See next post for answers and explanation. #echofirst #MindfulEcho #echotwitter

[David T Linker @DavidTLinker]

@Dr_Oubre @safabric @soupmd_ Feel free to. As they say: Plagiarism is the sincerest form of flattery!

[David T Linker @DavidTLinker]

@Dr_Oubre @safabric @soupmd_ Canadian Cardiovascular Society https://t.co/ji1nUKQrt7