ECHO 2013 / Echocardiography For Assessment of Diastolic Function
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2-D Echocardiography LA Volume
Biplane Simpson’s Rule
CP1034165-8
LA Volume Index
Normal Range
22 ± 6 cc/m2
2 SD above mean = 34 cc/m2
Evaluation of Diastolic Filling of the Left Ventricle in Health and Disease:
Doppler Echocardiography
is the Cinician’s Rosetta Stone
Nishimura RA and Tajik AJ
Journal of the American
College of Cardiology 30(1); 7/97
Grading of Diastolic Dysfunction
• Grade I |
Abnormal |
Grade Ia |
relaxation |
•Grade II Pseudonormal
•Grade III Restrictive pattern
|
(reversible) |
• Grade IV |
Restrictive pattern |
|
(irreversible) |
CP993639-14
Diastolic Dysfunction
Grade |
Filling pressure |
I |
Normal or Low |
Ia |
Mildly |
II |
Moderately |
III, IV |
Severely |
CP1018119-6
PW Doppler of Mitral Inflow
Assessment of Diastolic Function
Normal |
Grade 1 |
Grade 2 |
Grade 3-4 |
PW Doppler of Mitral Inflow
Assessment of Diastolic Function
Normal |
Normal |
Grade 1 |
Grade 2 |
Grade 3-4 |
Adolescent |
Adult |
|
|
|
PW Doppler of Mitral Inflow
Assessment of Diastolic Function
Normal |
Normal |
Grade 1 |
Grade 2 |
Grade 3-4 |
Adolescent |
Adult |
|
|
|
PW Doppler of Mitral Inflow
Assessment of Diastolic Function
Normal |
Normal |
Grade 1 |
Grade 2 |
Grade 3-4 |
Adolescent |
Adult |
|
|
|
Pseudonormal Filling
•Transition between delayed relaxation and restriction
•Moderate LA pressure with underlying delayed relaxation
•MV Doppler pattern appears normal
CP993639-23