David Winchester, MD

David E Winchester, MD, MS, FACP, F

(352) 265-0820

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Publications

Overuse of Cardiac Troponin Among Hospitalized Patients: A Cohort Study of Biomarker "Superusers".
Cardiology and therapy
2020

Outpatient Intravenous Diuretic Therapy for Acute Heart Failure: A Simplified Solution to a Formidable Problem.
Journal of cardiac failure
2020

Myocardial infarction classification and its implications on measures of cardiovascular outcomes, quality, and racial/ethnic disparities.
Clinical cardiology
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
2020

Issues to consider with electronic consultations.
Journal of the American Medical Informatics Association : JAMIA
2020

Intraventricular Thrombus Formation and Embolism in Takotsubo Syndrome: Insights From the International Takotsubo Registry.
Arteriosclerosis, thrombosis, and vascular biology
2020

Implementation of Appropriate Use Criteria for Cardiology Tests and Procedures: a Systematic Review and Meta-analysis.
European heart journal. Quality of care & clinical outcomes
2020

Implementation and Impact of Home-Based Cardiac Rehabilitation in a Veterans Affair Medical Center.
Military medicine
2020

Impact of sex and race on underuse of cardiovascular stress testing in the outpatient setting.
Coronary artery disease
2020

Impact of aspirin on takotsubo syndrome: a propensity score-based analysis of the InterTAK Registry.
European journal of heart failure
2020

Home-Based Cardiac Rehabilitation (HBCR) In Post-TAVR Patients: A Prospective, Single-Center, Cohort, Pilot Study.
Cardiology and therapy
2020

Effect of Elevated Calcium Score on Normal Myocardial Perfusion Study on Clinician Management of Coronary Artery Disease Risk Factors.
Critical pathways in cardiology
2020

E-Consult Protocoling to Improve the Quality of Cardiac Stress Tests.
JACC. Cardiovascular imaging
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
2020

Diabetes and cardiovascular disease, are women protected or at higher risk?
Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology
2020

Definition for AF course.
Clinical cardiology
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
2020

Coexistence and outcome of coronary artery disease in Takotsubo syndrome.
European heart journal
2020

Closing Gaps in Essential Chest Pain Care Through Accreditation.
Journal of the American College of Cardiology
2020

Cardiovascular Imaging Through the Prism of Modern Metrics.
JACC. Cardiovascular imaging
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
2020

Age-Related Variations in Takotsubo Syndrome.
Journal of the American College of Cardiology
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
2020

A Redesigned Order Entry System for Reducing Low-Value Preprocedural Cardiology Consultations: Quality-Improvement Cohort Study.
JMIR perioperative medicine
2020

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
2019

Use of Cardiac Troponin Testing in the Outpatient Setting.
Southern medical journal
2019

The importance of the patient's voice in nuclear cardiology.
Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology
2019

Strategies for management of heart failure with preserved ejection fraction.
International journal of cardiology. Heart & vasculature
2019

Simplified approach to stress-first nuclear myocardial perfusion imaging: implementation of Choosing Wisely recommendations.
BMJ open quality
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
2019

Quality Improvement in Cardiology Practice: A Fellows' Program.
Journal of the American College of Cardiology
2019

Prediction of short- and long-term mortality in takotsubo syndrome: the InterTAK Prognostic Score.
European journal of heart failure
2019

Outcomes Associated With Cardiogenic Shock in Takotsubo Syndrome.
Circulation
2019

Facility-Level Variation in Stress Test Utilization in Veterans With Ischemic Heart Disease.
JACC. Cardiovascular imaging
2019

Electronic consults for improving specialty care access for veterans.
The American journal of managed care
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
2019

Comparative Effectiveness and Safety of Ticagrelor versus Prasugrel in Patients with Acute Coronary Syndrome: A Retrospective Cohort Analysis.
Pharmacotherapy
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
2019

Clinical Features and Outcomes of Patients With Malignancy and Takotsubo Syndrome: Observations From the International Takotsubo Registry.
Journal of the American Heart Association
2019

Cardiac arrest in takotsubo syndrome: results from the InterTAK Registry.
European heart journal
2019

Assessing Prognosis of Acute Coronary Syndrome in Recent Clinical Trials: A Systematic Review.
Clinical medicine & research
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
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
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
2019

Using Simulation to Teach Echocardiography: A Systematic Review.
Simulation in healthcare : journal of the Society for Simulation in Healthcare
2018

The impact of chronic kidney disease on medication choice and pharmacologic management in patients with heart failure.
Expert review of clinical pharmacology
2018

Self-teaching to improve patient confidence in resuscitation skills: A quality improvement project.
Journal of the American Association of Nurse Practitioners
2018

Proposed mechanisms of relative bradycardia.
Medical hypotheses
2018

Progress through accreditation, still room for quality improvement.
Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology
2018

Long-Term Prognosis of Patients With Takotsubo Syndrome.
Journal of the American College of Cardiology
2018

International Expert Consensus Document on Takotsubo Syndrome (Part II): Diagnostic Workup, Outcome, and Management.
European heart journal
2018

International Expert Consensus Document on Takotsubo Syndrome (Part I): Clinical Characteristics, Diagnostic Criteria, and Pathophysiology.
European heart journal
2018

Associations between cardiac troponin, mortality and subsequent use of cardiovascular services: differences in sex and ethnicity.
Open heart
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
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
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
2018

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
2017

Simulation-based training of transesophageal echocardiography for cardiology fellows.
Journal of echocardiography
2017

Revascularization and outcomes in Veterans with moderate to severe ischemia on myocardial perfusion imaging.
Military Medical Research
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
2017

Promoting Appropriate Use of Cardiac Imaging: No Longer an Academic Exercise.
Annals of internal medicine
2017

Perceptions of patients and providers on myocardial perfusion imaging for asymptomatic patients, choosing wisely, and professional liability.
BMC health services research
2017

Patient and Provider Attitudes on Appropriate Use Criteria for Myocardial Perfusion Imaging.
JACC. Cardiovascular imaging
2017

Learning from errors: unnecessary intensive care unit admissions.
BMJ case reports
2017

Comparison of the Appropriateness of Myocardial Perfusion Imaging in Men Versus Women.
The American journal of cardiology
2017

Comparison of 3 Symptom Classification Methods to Standardize the History Component of the HEART Score.
Critical pathways in cardiology
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
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
2017

A systematic review of mobility/immobility in thromboembolism risk assessment models for hospitalized patients.
Journal of thrombosis and thrombolysis
2017

A specialty-specific, multimodality educational quality improvement initiative to deimplement rarely appropriate myocardial perfusion imaging.
Open heart
2017

Utility of the Diamond-Forrester Classification in Stratifying Acute Chest Pain in an Academic Chest Pain Center.
Critical pathways in cardiology
2016

Statin Use and Its Facility-Level Variation in Patients With Diabetes: Insight From the Veterans Affairs National Database.
Clinical cardiology
2016

Process Improvements to Reduce Cardiac Troponin Turnaround Time in the Emergency Department.
Critical pathways in cardiology
2016

Predictors of short- and long-term mortality in hospitalized veterans with elevated troponin.
Journal of hospital medicine
2016

Postgraduate Education in Quality Improvement Methods: Initial Results of the Fellows' Applied Quality Training (FAQT) Curriculum.
Critical pathways in cardiology
2016

Physician-level variation in the diagnosis of myocardial infarction and the use of angiography among Veterans with elevated troponin.
Military Medical Research
2016

Outcomes after inappropriate nuclear myocardial perfusion imaging: A meta-analysis.
Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology
2016

Left ventricular mass in a patient with peripheral eosinophilia.
Journal of cardiovascular medicine (Hagerstown, Md.)
2016

Experimental and early investigational drugs for angina pectoris.
Expert opinion on investigational drugs
2016

Discordance Between Appropriate Use Criteria for Nuclear Myocardial Perfusion Imaging From Different Specialty Societies: A Potential Concern for Health Policy.
JAMA cardiology
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
2016

The business of accreditation.
Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology
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
2015

Prevalence and implications of severe anxiety in a prospective cohort of acute chest pain patients.
Critical pathways in cardiology
2015

Prevalence and Overlap of Noncardiac Conditions in the Evaluation of Low-risk Acute Chest Pain Patients.
Critical pathways in cardiology
2015

Pericardial mass in a patient with rheumatoid arthritis.
BMJ case reports
2015

Metrics of quality care in veterans: correlation between primary-care performance measures and inappropriate myocardial perfusion imaging.
Clinical cardiology
2015

Historical perspective and contemporary management of acute coronary syndromes: from MONA to THROMBINS2.
Postgraduate medicine
2015

Diagnostic yield of routine noninvasive cardiovascular testing in low-risk acute chest pain patients.
The American journal of cardiology
2015

Determining the Role of Thiamine Deficiency in Systolic Heart Failure: A Meta-Analysis and Systematic Review.
Journal of cardiac failure
2015

Clinical utility of inappropriate positron emission tomography myocardial perfusion imaging: test results and cardiovascular events.
Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology
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.
Journal of the American College of Cardiology
2015

Angina treatments and prevention of cardiac events: an appraisal of the evidence.
European heart journal supplements : journal of the European Society of Cardiology
2015

Anatomic and functional testing for coronary artery disease in symptomatic patients yield similar cardiovascular outcomes.
Evidence-based medicine
2015

An unusual case of nonsustained ventricular tachycardia.
Therapeutic advances in cardiovascular disease
2015

A hole in my heart: mitral abscess and fistula.
Journal of echocardiography
2015

A Cohort Study of Myocardial Perfusion Imaging in Veteran Patients Without Symptoms: Contributing Factors and Results of Testing.
Medicine
2015

Usefulness of Beta blockade in contemporary management of patients with stable coronary heart disease.
The American journal of cardiology
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
2014

A training program in cardiovascular cell-based therapy: from the NHLBI Cardiovascular Cell Therapy Research Network.
Regenerative medicine
2014

Q: Which patients may benefit from coronary artery calcification scoring?
Cleveland Clinic journal of medicine
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
2013

Comparing two strategies for emergency department chest pain patients: immediate computed tomography coronary angiography versus delayed outpatient treadmill testing.
Critical pathways in cardiology
2013

Appropriate use of myocardial perfusion imaging in a veteran population: profit motives and professional liability concerns.
JAMA internal medicine
2013

Appropriate Use of Myocardial Perfusion Imaging in a Veteran Population
Journal of the American College of Cardiology
2013

Antagonist molecules in the treatment of angina.
Expert opinion on pharmacotherapy
2013

Advising on diet and lifestyle: naturopathy's role?
CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
2013

A quality improvement project for reducing cardiac computed tomography radiation dose in a community-based, multihospital setting.
Critical pathways in cardiology
2013

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
2012

Membranous ventricular septal aneurysm diagnosed by means of cardiac computed tomography.
Texas Heart Institute journal
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
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
2012

Design and implementation of a stand-alone chest pain evaluation center within an academic emergency department.
Critical pathways in cardiology
2012

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
2011

Limitations of the Medline Database in Constructing Meta-Analyses Response

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
2011

Responsible use of computed tomography in the evaluation of coronary artery disease and chest pain.
Mayo Clinic proceedings
2010

Real World Use of 320 Detector Computed Tomography Coronary Angiography for Chest Pain Triage in the Emergency Department
Annals of Emergency Medicine
2010

Limitations of the MEDLINE database in constructing meta-analyses.
Annals of internal medicine
2010

Evidence of pre-procedural statin therapy a meta-analysis of randomized trials.
Journal of the American College of Cardiology
2010

Cancer registries: a novel alternative to long-term clinical trial follow-up based on results of a comparative study.
Clinical trials (London, England)
2010

Acute myocardial infarction during infusion of liposomal doxorubicin for recurrent breast cancer.
The breast journal
2010

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)
Circulation
2009

Inclusion of patients who overdose with dihydropyridine calcium channel blockers would potentially increase clinical utility of hyperglycemia.
Critical care medicine
2008

Omalizumab for asthma.
The New England journal of medicine
2006

A clinical-skills examination for medical students?
The New England journal of medicine
2003

Gene therapy with adenovirus-mediated myocardial transfer of vascular endothelial growth factor 121 improves cardiac performance in a pacing model of congestive heart failure.
The Journal of thoracic and cardiovascular surgery
2002

Cancer of the stomach. A patient care study by the American College of Surgeons.
Annals of surgery
1993

Adult soft tissue sarcomas. A pattern of care survey of the American College of Surgeons.
Annals of surgery
1987

Research Interests

Dr. Winchester's academic interest is in general cardiology. His research interests include 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 Shands Chest Pain Evaluation Center.