David E Winchester

David E Winchester, MD, MS, FACP, F

Professor Of Medicine And VA Faculty

Department: MD-CARDIOLOGY
Business Phone: (352) 273-9065
Business Email: dwinches@ufl.edu

About David E Winchester

Dr. David Winchester is an associate professor in the UF Division of Cardiovascular Medicine. He practices general cardiology with a focus on noninvasive imaging including echocardiography, nuclear cardiology and cardiac computed tomography (CT). Dr. Winchester has active research projects on the evaluation of chest pain in the emergency department, appropriate use of cardiac CT, and meta-analysis. He serves as a co-investigator of the PROMISE trial and as the Cardiology Liaison for the Chest Pain Evaluation Center at Shands at UF. He received his BS in microbiology and BA in sociology at the University of Florida. In 2005, he received his MD at the University of South Florida. After medical school, Dr. Winchester completed his residency in internal medicine at the University of Virginia and then returned to UF for his cardiology fellowship and MS in clinical and translational science. He has received several awards for his research and teaching and has served in national leadership roles with the Society of Chest Pain Centers, the American College of Cardiology, the American Medical Association. Dr. Winchester is a native of Tallahassee, FL.

Teaching Profile

Courses Taught
2020-2022
PAS5010 Intro to Medicine 1
2020,2022
BMS6633 The Cv System
2018,2020-2022,2022-2023
IDH3931 Interdisciplinary Junior Honors
2018
MDC7200 Medicine Clerkship
2018
MDT7090 Elective Topics
2021
IDH2930 (Un)common read

Board Certifications

  • Cardiovascular Disease
    American Board of Internal Medicine
  • Internal Medicine
    American Board of Internal Medicine

Clinical Profile

Specialties
  • Cardiology
Subspecialties
  • Cardiovascular Disease
Areas of Interest
  • Chest pain
  • Echocardiogram
  • Heart CT scan
  • Heart disease
  • Heart disease – resources

Research Profile

Open Researcher and Contributor ID (ORCID)

0000-0002-5224-2891

Publications

2022
Core Cardiology Training Symposium (COCATS) Standards and Board Certifications: Implications for Fellows-in-Training Seeking Employment.
Evaluation & the health professions. 45(4):425-427 [DOI] 10.1177/01632787211020816. [PMID] 34032156.
2022
Diabetes and cardiovascular disease, are women protected or at higher risk?
Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology. 29(1):83-85 [DOI] 10.1007/s12350-020-02243-9. [PMID] 32627134.
2022
Ethnic comparison in takotsubo syndrome: novel insights from the International Takotsubo Registry.
Clinical research in cardiology : official journal of the German Cardiac Society. 111(2):186-196 [DOI] 10.1007/s00392-021-01857-4. [PMID] 34013386.
2022
Integrated ECG Interpretation Course for the Improvement of Medical Student Electrocardiography Literacy
Medical Science Educator. [DOI] 10.1007/s40670-022-01644-4. [PMID] 36213333.
2022
Sinus bradycardia with haemodynamic compromise following lithium intoxication
Drug and Therapeutics Bulletin. dtb-2022 [DOI] 10.1136/dtb.2022.242946rep.
2022
The New Role of Telehealth in Contemporary Medicine
Current Cardiology Reports. 24(3):271-275 [DOI] 10.1007/s11886-022-01640-5. [PMID] 35218502.
2021
Accreditation in health care: does it make any difference to patient outcomes?
BMJ Quality & Safety. 30(11):845-847 [DOI] 10.1136/bmjqs-2020-012533.
2021
Diabetes is still a CAD risk equivalent, now what?
Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology. [DOI] 10.1007/s12350-021-02859-5. [PMID] 34773187.
2021
Discrepancy between patient-reported and clinician-documented symptoms for myocardial perfusion imaging: initial findings from a prospective registry
International Journal for Quality in Health Care. 33(2) [DOI] 10.1093/intqhc/mzab076.
2021
Don’t blink: inattentional blindness in radiology report interpretation.
BJR open. 3(1) [DOI] 10.1259/bjro.20210030. [PMID] 35707750.
2021
E-Consult Protocoling to Improve the Quality of Cardiac Stress Tests.
JACC. Cardiovascular imaging. 14(2):512-514 [DOI] 10.1016/j.jcmg.2020.08.009. [PMID] 33011119.
2021
How to Build an Antiracist Cardiovascular Culture, Community, and Profession.
Journal of the American College of Cardiology. 77(9):1257-1261 [DOI] 10.1016/j.jacc.2020.11.073. [PMID] 33663743.
2021
Impact of Atrial Fibrillation on Outcome in Takotsubo Syndrome: Data From the International Takotsubo Registry
Journal of the American Heart Association. 10(15) [DOI] 10.1161/jaha.119.014059.
2021
Impact of COVID-19 on Cardiovascular Testing in the United States Versus the Rest of the World.
JACC. Cardiovascular imaging. 14(9):1787-1799 [DOI] 10.1016/j.jcmg.2021.03.007. [PMID] 34147434.
2021
Implementation of a High-Sensitivity Troponin-I Assay in an Academic Medical Center: A Qualitative and Quantitative Assessment.
The Journal of invasive cardiology. 33(7):E549-E556 [PMID] 34224384.
2021
Implementation of appropriate use criteria for cardiology tests and procedures: a systematic review and meta-analysis
European Heart Journal – Quality of Care and Clinical Outcomes. 7(1):34-41 [DOI] 10.1093/ehjqcco/qcaa029.
2021
Pneumopericardium Develops After Pacemaker Implantation.
Texas Heart Institute journal. 48(4) [DOI] 10.14503/THIJ-19-7093. [PMID] 34665870.
2021
Prognostic impact of acute pulmonary triggers in patients with takotsubo syndrome: new insights from the International Takotsubo Registry.
ESC heart failure. 8(3):1924-1932 [DOI] 10.1002/ehf2.13165. [PMID] 33713566.
2021
Promoting Cardiac Rehabilitation in Acute Coronary Syndrome Patients: Quality Initiative Based on Education, Automated Referral, and Multidisciplinary Rounds.
Critical pathways in cardiology. 20(3):115-118 [DOI] 10.1097/HPC.0000000000000263. [PMID] 34238793.
2021
Repercussions from Indiscriminate Use of Cardiac Troponin for Intensive Care Patients.
The American journal of the medical sciences. 361(3):285-286 [DOI] 10.1016/j.amjms.2020.12.017. [PMID] 33509562.
2021
Sinus bradycardia with haemodynamic compromise following lithium intoxication
BMJ Case Reports. 14(5) [DOI] 10.1136/bcr-2021-242946. [PMID] 33986016.
2021
The Impact of American College of Cardiology Chest Pain Center Accreditation on Guideline Recommended Acute Myocardial Infarction Management.
Critical pathways in cardiology. 20(4):173-178 [DOI] 10.1097/HPC.0000000000000266. [PMID] 34494982.
2021
The importance of the patient’s voice in nuclear cardiology.
Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology. 28(4):1519-1521 [DOI] 10.1007/s12350-019-01918-2. [PMID] 31650492.
2021
Using a sledgehammer to crack a nut: The burdensome appropriate use criteria program.
Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology. 28(5):1998-2000 [DOI] 10.1007/s12350-019-01978-4. [PMID] 31832884.
2020
A Redesigned Order Entry System for Reducing Low-Value Preprocedural Cardiology Consultations: Quality-Improvement Cohort Study
JMIR Perioperative Medicine. 3(1) [DOI] 10.2196/17669. [PMID] 33393916.
2020
ACC/AHA/ASE/HRS/ISACHD/SCAI/SCCT/SCMR/SOPE 2020 Appropriate Use Criteria for Multimodality Imaging During the Follow-Up Care of Patients With Congenital Heart Disease: A Report of the American College of Cardiology Solution Set Oversight Committee and Appropriate Use Criteria Task Force, American Heart Association, American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and Society of Pediatric Echocardiography.
Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography. 33(10):e1-e48 [DOI] 10.1016/j.echo.2020.04.026. [PMID] 33010859.
2020
Age-Related Variations in Takotsubo Syndrome.
Journal of the American College of Cardiology. 75(16):1869-1877 [DOI] 10.1016/j.jacc.2020.02.057. [PMID] 32327096.
2020
All Together Now: Synthesizing Evidence-Based Protocols to Simplify and Expedite Emergency Department Evaluation of Low-Risk Patients.
Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology. 27(4):1349-1351 [DOI] 10.1007/s12350-019-01858-x. [PMID] 31452086.
2020
Cardiovascular Imaging Through the Prism of Modern Metrics.
JACC. Cardiovascular imaging. 13(5):1256-1269 [DOI] 10.1016/j.jcmg.2020.03.003. [PMID] 32381247.
2020
Closing Gaps in Essential Chest Pain Care Through Accreditation.
Journal of the American College of Cardiology. 75(19):2478-2482 [DOI] 10.1016/j.jacc.2020.03.044. [PMID] 32408982.
2020
Coexistence and outcome of coronary artery disease in Takotsubo syndrome
European Heart Journal. 41(34):3255-3268 [DOI] 10.1093/eurheartj/ehaa210.
2020
Comparison of Patient Results on a New High-Sensitivity Troponin I Assay with a Conventional Assay, Focusing on Clinically Relevant Cutpoints.
The journal of applied laboratory medicine. 5(3):597-599 [DOI] 10.1093/jalm/jfaa014. [PMID] 32445354.
2020
Definition for AF course
Clinical Cardiology. 43(9):926-926 [DOI] 10.1002/clc.23409. [PMID] 32542863.
2020
Discordance in Clinical Recommendations Regarding the Use of Imaging.
American journal of medical quality : the official journal of the American College of Medical Quality. 35(2):117-124 [DOI] 10.1177/1062860619851561. [PMID] 31113208.
2020
Effect of Elevated Calcium Score on Normal Myocardial Perfusion Study on Clinician Management of Coronary Artery Disease Risk Factors.
Critical pathways in cardiology. 19(2):58-61 [DOI] 10.1097/HPC.0000000000000209. [PMID] 31939754.
2020
Home-Based Cardiac Rehabilitation (HBCR) In Post-TAVR Patients: A Prospective, Single-Center, Cohort, Pilot Study.
Cardiology and therapy. 9(2):541-548 [DOI] 10.1007/s40119-020-00186-3. [PMID] 32535753.
2020
Impact of aspirin on takotsubo syndrome: a propensity score-based analysis of the InterTAK Registry.
European journal of heart failure. 22(2):330-337 [DOI] 10.1002/ejhf.1698. [PMID] 31863563.
2020
Impact of sex and race on underuse of cardiovascular stress testing in the outpatient setting.
Coronary artery disease. 31(2):184-186 [DOI] 10.1097/MCA.0000000000000766. [PMID] 31136310.
2020
Implementation and Impact of Home-Based Cardiac Rehabilitation in a Veterans Affair Medical Center.
Military medicine. 185(5-6):e859-e863 [DOI] 10.1093/milmed/usz366. [PMID] 31665411.
2020
Intraventricular Thrombus Formation and Embolism in Takotsubo Syndrome: Insights From the International Takotsubo Registry.
Arteriosclerosis, thrombosis, and vascular biology. 40(1):279-287 [DOI] 10.1161/ATVBAHA.119.313491. [PMID] 31766870.
2020
Issues to consider with electronic consultations
Journal of the American Medical Informatics Association. 27(6):987-987 [DOI] 10.1093/jamia/ocaa043. [PMID] 32374406.
2020
Multimodality imaging: Bird’s eye view from the 2019 American College of Cardiology Scientific Sessions.
Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology. 27(2):410-416 [DOI] 10.1007/s12350-019-02016-z. [PMID] 31975328.
2020
Myocardial infarction classification and its implications on measures of cardiovascular outcomes, quality, and racial/ethnic disparities
Clinical Cardiology. 43(10):1076-1083 [DOI] 10.1002/clc.23431. [PMID] 32779762.
2020
Outpatient Intravenous Diuretic Therapy for Acute Heart Failure: A Simplified Solution to a Formidable Problem.
Journal of cardiac failure. 26(9):800-801 [DOI] 10.1016/j.cardfail.2019.08.008. [PMID] 31449962.
2020
Overuse of Cardiac Troponin Among Hospitalized Patients: A Cohort Study of Biomarker “Superusers”
Cardiology and Therapy. 9(2):549-552 [DOI] 10.1007/s40119-020-00193-4. [PMID] 32676975.
2020
Physician thoughts on unnecessary noninvasive imaging and decision support software: A qualitative study
Clinical Ethics. 15(3):141-147 [DOI] 10.1177/1477750920927166.
2019
ACC/AATS/AHA/ASE/ASNC/HRS/SCAI/SCCT/SCMR/STS 2019 appropriate use criteria for multimodality imaging in the assessment of cardiac structure and function in nonvalvular heart disease: A report of the American College of Cardiology Appropriate Use Criteria Task Force, American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and the Society of Thoracic Surgeons.
The Journal of thoracic and cardiovascular surgery. 157(4):e153-e182 [DOI] 10.1016/j.jtcvs.2018.12.061. [PMID] 30635178.
2019
ACC/AATS/AHA/ASE/ASNC/HRS/SCAI/SCCT/SCMR/STS 2019 Appropriate Use Criteria for Multimodality Imaging in the Assessment of Cardiac Structure and Function in Nonvalvular Heart Disease: A Report of the American College of Cardiology Appropriate Use Criteria Task Force, American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and the Society of Thoracic Surgeons.
Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography. 32(5):553-579 [DOI] 10.1016/j.echo.2019.01.008. [PMID] 30744922.
2019
ACC/AATS/AHA/ASE/ASNC/SCAI/SCCT/STS 2017 appropriate use criteria for coronary revascularization in patients with stable ischemic heart disease: A report of the American College of Cardiology Appropriate Use Criteria Task Force, American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, and Society of Thoracic Surgeons.
The Journal of thoracic and cardiovascular surgery. 157(3):e131-e161 [DOI] 10.1016/j.jtcvs.2018.11.027. [PMID] 33198024.
2019
Assessing Prognosis of Acute Coronary Syndrome in Recent Clinical Trials: A Systematic Review.
Clinical medicine & research. 17(1-2):11-19 [DOI] 10.3121/cmr.2019.1433. [PMID] 31160474.
2019
Cardiac arrest in takotsubo syndrome: results from the InterTAK Registry.
European heart journal. 40(26):2142-2151 [DOI] 10.1093/eurheartj/ehz170. [PMID] 31098611.
2019
Clinical Features and Outcomes of Patients With Malignancy and Takotsubo Syndrome: Observations From the International Takotsubo Registry.
Journal of the American Heart Association. 8(15) [DOI] 10.1161/JAHA.118.010881. [PMID] 31311438.
2019
Clinical Predictors and Prognostic Impact of Recovery of Wall Motion Abnormalities in Takotsubo Syndrome: Results From the International Takotsubo Registry.
Journal of the American Heart Association. 8(21) [DOI] 10.1161/JAHA.118.011194. [PMID] 31672100.
2019
Comparative Effectiveness and Safety of Ticagrelor versus Prasugrel in Patients with Acute Coronary Syndrome: A Retrospective Cohort Analysis.
Pharmacotherapy. 39(9):912-920 [DOI] 10.1002/phar.2311. [PMID] 31332815.
2019
Comparing two methods for determining appropriateness of myocardial perfusion imaging: Criteria from the American College of Cardiology Foundation and the American College of Radiology.
Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology. 26(3):826-830 [DOI] 10.1007/s12350-017-0965-1. [PMID] 28660600.
2019
Electronic consults for improving specialty care access for veterans.
The American journal of managed care. 25(5):250-253 [PMID] 31120719.
2019
Estimates of radiation exposure and subsequent risk of malignancy due to cardiac imaging in the emergency department for evaluation of chest pain: a cohort study
Coronary Artery Disease. 30(8):626-628 [DOI] 10.1097/MCA.0000000000000806. [PMID] 31577617.
2019
Facility-Level Variation in Stress Test Utilization in Veterans With Ischemic Heart Disease.
JACC. Cardiovascular imaging. 12(7 Pt 1):1292-1293 [DOI] 10.1016/j.jcmg.2019.02.020. [PMID] 31005521.
2019
Outcomes Associated With Cardiogenic Shock in Takotsubo Syndrome.
Circulation. 139(3):413-415 [DOI] 10.1161/CIRCULATIONAHA.118.036164. [PMID] 30586690.
2019
Prediction of short- and long-term mortality in takotsubo syndrome: the InterTAK Prognostic Score.
European journal of heart failure. 21(11):1469-1472 [DOI] 10.1002/ejhf.1561. [PMID] 31452320.
2019
Quality Improvement in Cardiology Practice: A Fellows’ Program.
Journal of the American College of Cardiology. 74(20):2533-2537 [DOI] 10.1016/j.jacc.2019.10.004. [PMID] 31727293.
2019
Refer Wisely™: Leveraging social media to promote interdisciplinary collaboration on the use of cardiac testing.
Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology. 26(4):1225-1227 [DOI] 10.1007/s12350-019-01673-4. [PMID] 30825112.
2019
Simplified approach to stress-first nuclear myocardial perfusion imaging: implementation of Choosing Wisely recommendations
BMJ Open Quality. 8(2) [DOI] 10.1136/bmjoq-2018-000352. [PMID] 31206046.
2019
Strategies for management of heart failure with preserved ejection fraction.
International journal of cardiology. Heart & vasculature. 23 [DOI] 10.1016/j.ijcha.2019.100379. [PMID] 31193684.
2019
Use of Cardiac Troponin Testing in the Outpatient Setting.
Southern medical journal. 112(5):295-300 [DOI] 10.14423/SMJ.0000000000000971. [PMID] 31050800.
2018
ACC Appropriate Use Criteria Methodology: 2018 Update: A Report of the American College of Cardiology Appropriate Use Criteria Task Force.
Journal of the American College of Cardiology. 71(8):935-948 [DOI] 10.1016/j.jacc.2018.01.007. [PMID] 29471942.
2018
ACC/AATS/AHA/ASE/ASNC/HRS/SCAI/SCCT/SCMR/STS 2017 Appropriate Use Criteria for Multimodality Imaging in Valvular Heart Disease: A Report of the American College of Cardiology Appropriate Use Criteria Task Force, American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and Society of Thoracic Surgeons.
Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography. 31(4):381-404 [DOI] 10.1016/j.echo.2017.08.012. [PMID] 29066081.
2018
ACC/AATS/AHA/ASE/EACTS/HVS/SCA/SCAI/SCCT/SCMR/STS 2017 Appropriate Use Criteria for the Treatment of Patients With Severe Aortic Stenosis: A Report of the American College of Cardiology Appropriate Use Criteria Task Force, American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, European Association for Cardio-Thoracic Surgery, Heart Valve Society, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and Society of Thoracic Surgeons.
Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography. 31(2):117-147 [DOI] 10.1016/j.echo.2017.10.020. [PMID] 29254695.
2018
Associations between cardiac troponin, mortality and subsequent use of cardiovascular services: differences in sex and ethnicity
Open Heart. 5(1) [DOI] 10.1136/openhrt-2017-000713. [PMID] 29531759.
2018
International Expert Consensus Document on Takotsubo Syndrome (Part I): Clinical Characteristics, Diagnostic Criteria, and Pathophysiology.
European heart journal. 39(22):2032-2046 [DOI] 10.1093/eurheartj/ehy076. [PMID] 29850871.
2018
International Expert Consensus Document on Takotsubo Syndrome (Part II): Diagnostic Workup, Outcome, and Management.
European heart journal. 39(22):2047-2062 [DOI] 10.1093/eurheartj/ehy077. [PMID] 29850820.
2018
Long-Term Prognosis of Patients With Takotsubo Syndrome.
Journal of the American College of Cardiology. 72(8):874-882 [DOI] 10.1016/j.jacc.2018.06.016. [PMID] 30115226.
2018
Progress through accreditation, still room for quality improvement.
Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology. 25(6):2053-2055 [DOI] 10.1007/s12350-017-0964-2. [PMID] 28653272.
2018
Proposed mechanisms of relative bradycardia
Medical Hypotheses. 119:63-67 [DOI] 10.1016/j.mehy.2018.07.014.
2018
Self-teaching to improve patient confidence in resuscitation skills: A quality improvement project.
Journal of the American Association of Nurse Practitioners. 30(11):603-605 [DOI] 10.1097/JXX.0000000000000089. [PMID] 30211784.
2018
The impact of chronic kidney disease on medication choice and pharmacologic management in patients with heart failure.
Expert review of clinical pharmacology. 11(6):571-579 [DOI] 10.1080/17512433.2018.1479252. [PMID] 29781322.
2018
Using Simulation to Teach Echocardiography: A Systematic Review.
Simulation in healthcare : journal of the Society for Simulation in Healthcare. 13(6):413-419 [DOI] 10.1097/SIH.0000000000000351. [PMID] 30520805.
2017
A specialty-specific, multimodality educational quality improvement initiative to deimplement rarely appropriate myocardial perfusion imaging
Open Heart. 4(1) [DOI] 10.1136/openhrt-2017-000589. [PMID] 28674630.
2017
A systematic review of mobility/immobility in thromboembolism risk assessment models for hospitalized patients.
Journal of thrombosis and thrombolysis. 44(1):94-103 [DOI] 10.1007/s11239-017-1501-5. [PMID] 28484939.
2017
Acc/Aats/Aha/Ase/Asnc/Scai/Scct/Sts 2016 Appropriate Use Criteria for Coronary Revascularization in Patients With Acute Coronary Syndromes
Journal of the American College of Cardiology. 69(5):570-591 [DOI] 10.1016/j.jacc.2016.10.034.
2017
Acc/Aats/Aha/Ase/Asnc/Scai/Scct/Sts 2017 Appropriate Use Criteria for Coronary Revascularization in Patients With Stable Ischemic Heart Disease
Journal of the American College of Cardiology. 69(17):2212-2241 [DOI] 10.1016/j.jacc.2017.02.001.
2017
Comparison of 3 Symptom Classification Methods to Standardize the History Component of the HEART Score.
Critical pathways in cardiology. 16(3):102-104 [DOI] 10.1097/HPC.0000000000000119. [PMID] 28742646.
2017
Comparison of the Appropriateness of Myocardial Perfusion Imaging in Men Versus Women.
The American journal of cardiology. 120(2):191-195 [DOI] 10.1016/j.amjcard.2017.04.006. [PMID] 28545628.
2017
Learning from errors: unnecessary intensive care unit admissions.
BMJ case reports. 2017 [DOI] 10.1136/bcr-2017-220806. [PMID] 29054937.
2017
Patient and Provider Attitudes on Appropriate Use Criteria for Myocardial Perfusion Imaging.
JACC. Cardiovascular imaging. 10(7):824-825 [DOI] 10.1016/j.jcmg.2016.08.013. [PMID] 28017379.
2017
Perceptions of patients and providers on myocardial perfusion imaging for asymptomatic patients, choosing wisely, and professional liability.
BMC health services research. 17(1) [DOI] 10.1186/s12913-017-2510-y. [PMID] 28800760.
2017
Promoting Appropriate Use of Cardiac Imaging: No Longer an Academic Exercise.
Annals of internal medicine. 166(6):438-440 [DOI] 10.7326/M16-2673. [PMID] 28241267.
2017
Quality of Social Media and Web-Based Information Regarding Inappropriate Nuclear Cardiac Stress Testing and the Choosing Wisely Campaign: A Cross-Sectional Study
Interactive Journal of Medical Research. 6(1) [DOI] 10.2196/ijmr.7210. [PMID] 28473305.
2017
Revascularization and outcomes in Veterans with moderate to severe ischemia on myocardial perfusion imaging.
Military Medical Research. 4 [DOI] 10.1186/s40779-017-0121-x. [PMID] 28373909.
2017
Simulation-based training of transesophageal echocardiography for cardiology fellows.
Journal of echocardiography. 15(3):147-149 [DOI] 10.1007/s12574-016-0325-1. [PMID] 27914039.
2017
The elusive role of myocardial perfusion imaging in stable ischemic heart disease: Is ISCHEMIA the answer?
Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology. 24(5):1610-1618 [DOI] 10.1007/s12350-017-0963-3. [PMID] 28752313.
2016
Comparative accuracy of supine-only and combined supine-prone myocardial perfusion imaging in men.
Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology. 23(6):1470-1476 [PMID] 26719152.
2016
Discordance Between Appropriate Use Criteria for Nuclear Myocardial Perfusion Imaging From Different Specialty Societies: A Potential Concern for Health Policy.
JAMA cardiology. 1(2):207-10 [DOI] 10.1001/jamacardio.2016.0030. [PMID] 27437893.
2016
Experimental and early investigational drugs for angina pectoris.
Expert opinion on investigational drugs. 25(12):1413-1421 [PMID] 27791405.
2016
Left ventricular mass in a patient with peripheral eosinophilia.
Journal of cardiovascular medicine (Hagerstown, Md.). 17 Suppl 2:e174-e175 [DOI] 10.2459/JCM.0000000000000116. [PMID] 24838037.
2016
Outcomes after inappropriate nuclear myocardial perfusion imaging: A meta-analysis.
Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology. 23(4):680-9 [DOI] 10.1007/s12350-015-0240-2. [PMID] 26253327.
2016
Physician-level variation in the diagnosis of myocardial infarction and the use of angiography among Veterans with elevated troponin.
Military Medical Research. 3 [DOI] 10.1186/s40779-016-0090-5. [PMID] 27458522.
2016
Postgraduate Education in Quality Improvement Methods: Initial Results of the Fellows’ Applied Quality Training (FAQT) Curriculum.
Critical pathways in cardiology. 15(2):36-9 [DOI] 10.1097/HPC.0000000000000073. [PMID] 27183251.
2016
Predictors of short- and long-term mortality in hospitalized veterans with elevated troponin.
Journal of hospital medicine. 11(11):773-777 [DOI] 10.1002/jhm.2619. [PMID] 27256219.
2016
Process Improvements to Reduce Cardiac Troponin Turnaround Time in the Emergency Department.
Critical pathways in cardiology. 15(3):95-7 [DOI] 10.1097/HPC.0000000000000078. [PMID] 27465003.
2016
Statin Use and Its Facility-Level Variation in Patients With Diabetes: Insight From the Veterans Affairs National Database.
Clinical cardiology. 39(4):185-91 [DOI] 10.1002/clc.22503. [PMID] 27059708.
2016
Utility of the Diamond-Forrester Classification in Stratifying Acute Chest Pain in an Academic Chest Pain Center.
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2015
A Cohort Study of Myocardial Perfusion Imaging in Veteran Patients Without Symptoms: Contributing Factors and Results of Testing.
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2015
A hole in my heart: mitral abscess and fistula.
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2015
An unusual case of nonsustained ventricular tachycardia.
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2015
Anatomic and functional testing for coronary artery disease in symptomatic patients yield similar cardiovascular outcomes.
Evidence-based medicine. 20(4) [DOI] 10.1136/ebmed-2015-110212. [PMID] 26109577.
2015
Angina treatments and prevention of cardiac events: an appraisal of the evidence.
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2015
Cardiovascular Effects of Exposure to Cigarette Smoke and Electronic Cigarettes: Clinical Perspectives From the Prevention of Cardiovascular Disease Section Leadership Council and Early Career Councils of the American College of Cardiology.
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2015
Clinical utility of inappropriate positron emission tomography myocardial perfusion imaging: test results and cardiovascular events.
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2015
Determining the Role of Thiamine Deficiency in Systolic Heart Failure: A Meta-Analysis and Systematic Review.
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2015
Diagnostic yield of routine noninvasive cardiovascular testing in low-risk acute chest pain patients.
The American journal of cardiology. 116(2):204-7 [DOI] 10.1016/j.amjcard.2015.03.058. [PMID] 25958114.
2015
Historical perspective and contemporary management of acute coronary syndromes: from MONA to THROMBINS2.
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2015
Metrics of quality care in veterans: correlation between primary-care performance measures and inappropriate myocardial perfusion imaging.
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2015
Pericardial mass in a patient with rheumatoid arthritis.
BMJ case reports. 2015 [DOI] 10.1136/bcr-2015-209861. [PMID] 26055762.
2015
Prevalence and implications of severe anxiety in a prospective cohort of acute chest pain patients.
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2015
Prevalence and Overlap of Noncardiac Conditions in the Evaluation of Low-risk Acute Chest Pain Patients.
Critical pathways in cardiology. 14(3):97-102 [DOI] 10.1097/HPC.0000000000000050. [PMID] 26214812.
2015
Stress Testing After Percutaneous Coronary Intervention in the Veterans Affairs HealthCare System: Insights from the Veterans Affairs Clinical Assessment, Reporting, and Tracking Program.
Circulation. Cardiovascular quality and outcomes. 8(5):486-92 [DOI] 10.1161/CIRCOUTCOMES.114.001561. [PMID] 26198400.
2015
The business of accreditation.
Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology. 22(3):504-6 [DOI] 10.1007/s12350-014-0021-3. [PMID] 25376669.
2014
A training program in cardiovascular cell-based therapy: from the NHLBI Cardiovascular Cell Therapy Research Network.
Regenerative medicine. 9(6):793-7 [DOI] 10.2217/rme.14.57. [PMID] 25431915.
2014
Clinician-dependent variations in inappropriate use of myocardial perfusion imaging: training, specialty, and location.
Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology. 21(3):598-604 [DOI] 10.1007/s12350-014-9887-3. [PMID] 24671699.
2014
Usefulness of Beta blockade in contemporary management of patients with stable coronary heart disease.
The American journal of cardiology. 114(10):1607-12 [DOI] 10.1016/j.amjcard.2014.08.026. [PMID] 25260949.
2013
A quality improvement project for reducing cardiac computed tomography radiation dose in a community-based, multihospital setting.
Critical pathways in cardiology. 12(2):49-52 [DOI] 10.1097/HPC.0b013e318285c2cf. [PMID] 23680808.
2013
Advising on diet and lifestyle: naturopathy’s role?
CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne. 185(16) [DOI] 10.1503/cmaj.113-2141. [PMID] 24191221.
2013
Antagonist molecules in the treatment of angina.
Expert opinion on pharmacotherapy. 14(17):2323-42 [DOI] 10.1517/14656566.2013.834329. [PMID] 24047238.
2013
Appropriate Use of Myocardial Perfusion Imaging in a Veteran Population
Journal of the American College of Cardiology. 61
2013
Appropriate use of myocardial perfusion imaging in a veteran population: profit motives and professional liability concerns.
JAMA internal medicine. 173(14):1381-3 [DOI] 10.1001/jamainternmed.2013.953. [PMID] 23752899.
2013
Comparing two strategies for emergency department chest pain patients: immediate computed tomography coronary angiography versus delayed outpatient treadmill testing.
Critical pathways in cardiology. 12(4):197-200 [DOI] 10.1097/HPC.0b013e3182a65ea5. [PMID] 24240549.
2013
Mortality implications of angina and blood pressure in hypertensive patients with coronary artery disease: New data from extended follow-up of the International Verapamil/Trandolapril Study (INVEST).
Clinical cardiology. 36(8):442-7 [DOI] 10.1002/clc.22145. [PMID] 23720247.
2013
Q: Which patients may benefit from coronary artery calcification scoring?
Cleveland Clinic journal of medicine. 80(6):370-3 [DOI] 10.3949/ccjm.80a.12066. [PMID] 23733903.
2012
Design and implementation of a stand-alone chest pain evaluation center within an academic emergency department.
Critical pathways in cardiology. 11(3):123-7 [DOI] 10.1097/HPC.0b013e31825d28b9. [PMID] 22825532.
2012
Efficacy and safety of unfractionated heparin plus glycoprotein IIb/IIIa inhibitors during revascularization for an acute coronary syndrome: a meta-analysis of randomized trials performed with stents and thienopyridines.
Clinical cardiology. 35(2):93-100 [DOI] 10.1002/clc.20974. [PMID] 22028212.
2012
Immediate computed tomography coronary angiography versus delayed outpatient stress testing for detecting coronary artery disease in emergency department patients with chest pain.
The international journal of cardiovascular imaging. 28(3):667-74 [DOI] 10.1007/s10554-011-9870-x. [PMID] 21503704.
2012
Membranous ventricular septal aneurysm diagnosed by means of cardiac computed tomography.
Texas Heart Institute journal. 39(3):450-1 [PMID] 22719170.
2012
Mortality Associated With Angina and Blood Pressure Control Among Hypertensive Patients With Coronary Artery Disease: New Data From Extended Follow-Up of the International Verapamil/Trandolapril Study
Journal of the American College of Cardiology. 59
2011
Efficacy and safety of glycoprotein IIb/IIIa inhibitors during elective coronary revascularization: a meta-analysis of randomized trials performed in the era of stents and thienopyridines.
Journal of the American College of Cardiology. 57(10):1190-9 [DOI] 10.1016/j.jacc.2010.10.030. [PMID] 21371635.
2011
Limitations of the Medline Database in Constructing Meta-Analyses Response
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2011
Use of 320 Detector Computed Tomography Coronary Angiography for Evaluating Patients With Chest Pain in the Emergency Department: Impact On Duration of Stay and Coronary Artery Disease Detection
Journal of the American College of Cardiology. 57
2010
Acute myocardial infarction during infusion of liposomal doxorubicin for recurrent breast cancer.
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2010
Cancer registries: a novel alternative to long-term clinical trial follow-up based on results of a comparative study.
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2010
Evidence of pre-procedural statin therapy a meta-analysis of randomized trials.
Journal of the American College of Cardiology. 56(14):1099-109 [DOI] 10.1016/j.jacc.2010.04.023. [PMID] 20825761.
2010
Limitations of the Medline Database in Constructing Meta-Analyses
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Limitations of the MEDLINE database in constructing meta-analyses.
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2010
Real World Use of 320 Detector Computed Tomography Coronary Angiography for Chest Pain Triage in the Emergency Department
Annals of Emergency Medicine. 56
2010
Responsible use of computed tomography in the evaluation of coronary artery disease and chest pain.
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2009
Incident Or Continued Angina During Hypertension Treatment Is Associated With Increased Risk of Death, Mi, Or Stroke Among Patients With Known Cad: a Substudy of the International Verapamil/Trandolapril Study (Invest)
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2008
Inclusion of patients who overdose with dihydropyridine calcium channel blockers would potentially increase clinical utility of hyperglycemia.
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2006
Omalizumab for asthma.
The New England journal of medicine. 355(12):1281-2 [PMID] 16990394.
2003
A clinical-skills examination for medical students?
The New England journal of medicine. 348(13):1294-5 [PMID] 12660401.
2002
Gene therapy with adenovirus-mediated myocardial transfer of vascular endothelial growth factor 121 improves cardiac performance in a pacing model of congestive heart failure.
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1993
Cancer of the stomach. A patient care study by the American College of Surgeons.
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Grants

Sep 2021 – Sep 2022
Disparities in Peripheral Arterial Disease Diagnosis and Treatment in Socioeconomically Disadvantaged Regions of Florida
Role: Co-Project Director/Principal Investigator
Funding: AMER COL OF CARDIOLOGY
Sep 2016 – Jun 2021
Aspirin Dosing: A Patient-Centric Trial Assessing Benefits and Long-term Effectiveness (ADAPTABLE)
Role: Co-Investigator
Funding: DUKE UNIVERSITY via PATIENT-CENTERED OUTCOMES RES INST
Jun 2016 – Sep 2017
Real world use of cardiac troponin and downstream utilization of cardiovascular services
Role: Principal Investigator
Funding: ROCHE DIAGNOSTICS CORP
Jan 2016 – Mar 2022
miscellaneous donors
Role: Principal Investigator
Funding: MISCELLANEOUS DONORS
Aug 2014 – Jul 2020
Florida Heart Research Stop Heart Disease Researcher of the Year Award
Role: Principal Investigator
Funding: FL HEART RESEARCH FOU

Education

Residency – Cardiovascular Medicine
2011 · University of Florida
Residency – Internal Medicine
2008 · University of Virginia
Medical Degree
2005 · University of South Florida
Bachelor of Arts
2000 · University of Florida
Bachelors of Science in Microbiology
2000 · University of Florida

Contact Details

Phones:
Business:
(352) 273-9065
Emails:
Business:
dwinches@ufl.edu
Addresses:
Business Mailing:
PO BOX 100288
DEPARTMENT OF MEDICINE
GAINESVILLE FL 326100277
Business Street:
1601 SW ARCHER RD
GAINESVILLE FL 32608