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

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
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 (Online)
2020

Comparison of Patient Results on a New High-Sensitivity Troponin I Assay with a Conventional Assay, Focusing on Clinically Relevant Cutpoints
˜The œjournal of applied laboratory medicine (Print)
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

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

Use of Cardiac Troponin Testing in the Outpatient Setting
Southern Medical Journal
2019

Intraventricular Thrombus Formation and Embolism in Takotsubo Syndrome: Insights From the International Takotsubo Registry
Arteriosclerosis Thrombosis and Vascular Biology
2019

Implementation and Impact of Home-Based Cardiac Rehabilitation in a Veterans Affair Medical Center
Military Medicine
2019

Impact of aspirin on takotsubo syndrome: a propensity score-based analysis of the InterTAK Registry
European Journal of Heart Failure
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
2019

Discordance in Clinical Recommendations Regarding the Use of Imaging
American Journal of Medical Quality
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
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 and Research
2019

Using Simulation to Teach Echocardiography: A Systematic Review
Simulation in Healthcare-Journal of the Society for Simulation in Healthcare
2018

Proposed mechanisms of relative bradycardia
Medical Hypotheses
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 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

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

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

Comparison of the Appropriateness of Myocardial Perfusion Imaging in Men Versus Women
American Journal of 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

Utility of the Diamond-Forrester Classification in Stratifying Acute Chest Pain in an Academic Chest Pain Center
Critical pathways in cardiology (Online)
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

Physician-Level Variation in the Diagnosis of Myocardial Infarction and the Use of Angiography Among Veterans With Elevated Troponin
Military Medical Research
2016

Left ventricular mass in a patient with peripheral eosinophilia
Journal of Cardiovascular Medicine
2016

Comparative Accuracy of Supine-Only and Combined Supine-Prone Myocardial Perfusion Imaging in Men
Journal of Nuclear Cardiology
2016

The Business of Accreditation
Journal 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

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

Diagnostic Yield of Routine Noninvasive Cardiovascular Testing in Low-Risk Acute Chest Pain Patients
American Journal of Cardiology
2015

Clinical Utility of Inappropriate Positron Emission Tomography Myocardial Perfusion Imaging: Test Results and Cardiovascular Events
Journal 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
2015

Anatomic and functional testing for coronary artery disease in symptomatic patients yield similar cardiovascular outcomes
Evidence-Based Medicine
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
American Journal of Cardiology
2014

Clinician-Dependent Variations in Inappropriate Use of Myocardial Perfusion Imaging: Training, Specialty, and Location
Journal of Nuclear Cardiology
2014

A Training Program in Cardiovascular Cell-Based Therapy: From the Nhlbi Cardiovascular Cell Therapy Research Network
Regenerative Medicine
2014

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
Journal of the American College of Cardiology
2013

Appropriate Use of Myocardial Perfusion Imaging in a Veteran Population: Profit Motives and Professional Liability Concerns
Jama Internal Medicine
2013

Antagonist Molecules in the Treatment of Angina
Expert Opinion on Pharmacotherapy
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

2010

Evidence of Pre-Procedural Statin Therapy a Meta-Analysis of Randomized Trials
Journal of the American College of Cardiology
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

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.