Echocardiographic assessment of LV diastolic function

Echocardiographic assessment of LV diastolic function

Though there are several parameters for evaluation of left ventricular diastolic function by echocardiography, the most commonly used are the pulsed Doppler mitral E/A ratio and tissue Doppler mitral E/e’ ratio. Some of the other useful parameters are mitral E velocity deceleration time, changes in mitral inflow with Valsalva maneuver, mitral L velocity, isovolumic relaxation time, left atrial maximum volume index, pulmonary vein systolic/diastolic velocity ratio, color M-mode Vp and E/Vp ratio. Tricuspid regurgitation jet velocity and pulmonary regurgitation end diastolic velocity indicating pulmonary hypertension are also taken as surrogates of left atrial pressure in the absence of pulmonary disease [1].

Some of the previously published articles are:

Diastolic function assessment by echo in the AF

Mitral E/E’ for assessment of left ventricular diastolic function

Doppler and tissue Doppler in left ventricular diastolic dysfunction Doppler and tissue Doppler in left ventricular diastolic dysfunction

Doppler tracing of mitral flow in left ventricular diastolic dysfunction

Estimation of PCWP from E/E’ on Tissue Doppler Imaging

Mitral E-A fusion and E/A reversal

Evaluation of diastolic function by tissue Doppler

References

  1. Nagueh SF, Smiseth OA, Appleton CP, Byrd BF 3rd, Dokainish H, Edvardsen T, Flachskampf FA, Gillebert TC, Klein AL, Lancellotti P, Marino P, Oh JK, Popescu BA, Waggoner AD. Recommendations for the Evaluation of Left Ventricular Diastolic Function by Echocardiography: An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr. 2016 Apr;29(4):277-314.