Diastolic Function Assessment
1/9/2018
Diastolic Function Assessment
Practical Ways to Incorporate into Every Echo
Jae K. Oh, MD Echo Hawaii 2018
?2018 MFMER | 3712003-1
Learning Objectives
My presentation will help you to
? Appreciate the importance of myocardial relaxation for satisfactory diastolic function
? Assess and Grade diastolic function ? Estimate LV filling pressure noninvasively ? Incorporate Diastolic Function assessment into every Echo ? Apply Diastolic Function Assessment in
? Diagnosis of HFpEF ? Exercise Diastolic Test ? Restrictive CM vs Constriction
?2018 MFMER | 3712003-2
1
1/9/2018
Cardiac Function
Systole and Diastole () : Greek word for dilation
Filling
Pumping
Normal diastolic function allows adequate filling of the heart without excessive increase in diastolic filling pressure at rest and
with stress ?2018 MFMER | 3712003-3
Diastolic Filling with Relaxation
?2018 MFMER | 3712003-4
2
Diastolic Filling Patterns
Transmitral Gradient vs Mitral Inflow
1/9/2018
tau (msec)
1/9/2018 ?2018 MFMER | 3712003-5
LV Relaxation by Cath and Echo (tau) vs e' (mitral annulus velocity)
120
100 80 60
y=-6.80x + 85.68 r=0.70 P50%
EF ................
................
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