ECHO 2013 / Echocardiography For Assessment of Diastolic Function

Echocardiography

For Assessment of

Diastolic Function

Fletcher A. Miller, Jr, MD

Mayo Clinic Rochester

CP1018119-1

Early Left Ventricular Filling

Determinants

•Rate of LV relaxation

•Elastic recoil (suction)

•LA pressure

Nagueh SF; JASE 22(2); February 2009

E

A

E at A 0

Mdt

CP993639-19

Before Interpreting the Patterns

You Should Know

*Assessing diastolic dysfunction is Much easier for patients with Decreased systolic function

CP993639-13

Doppler for Diastolic Function

Evaluates LV Filling Pressure

at One Moment in Time

Usually at Rest and Supine

Increased LA Volume Index is an important clue to chronic, but perhaps intermittent, elevation of LV filling pressure, such as with exercise

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