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Current Cardiovascular Imaging Reports
Published in: Current Cardiovascular Imaging Reports 10/2016

01-10-2016 | Echocardiography (T Abraham, Section Editor)

Modern Assessment of Diastolic Function

Authors: Kunal D. Patel, Patrick Collier, Allan L. Klein

Published in: Current Cardiovascular Imaging Reports | Issue 10/2016

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Abstract

Purpose of Review

The goal of this review is to outline the new guidelines released by the ASE/EACVI that seek to simplify the assessment of diastolic function and evaluate the use and potential application of new and emerging technologies.

Recent Findings

The latest guidelines have decreased the number of parameters needed to evaluate diastolic function to 3. The parameters necessary include peak tricuspid regurgitation (TR) velocity, average E/e′, and indexed left atrial volume (LAVi). At least 2 out of 3 must be positive to determine diastolic dysfunction. There are certain disease states that limit the application of the new guidelines and diastolic stress testing may be indicated in inconclusive cases. New and emerging technologies such as global longitudinal strain (GLS) may provide new opportunities to determine LV filling pressures.

Summary

New guidelines issued by the ASE and EACVI have simplified the assessment of diastolic function and should be implemented in daily practice.
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Metadata
Title
Modern Assessment of Diastolic Function
Authors
Kunal D. Patel
Patrick Collier
Allan L. Klein
Publication date
01-10-2016
Publisher
Springer US
Published in
Current Cardiovascular Imaging Reports / Issue 10/2016
Print ISSN: 1941-9066
Electronic ISSN: 1941-9074
DOI
https://doi.org/10.1007/s12410-016-9388-7

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