{"id":6530,"date":"2011-07-24T22:30:29","date_gmt":"2011-07-24T17:00:29","guid":{"rendered":"http:\/\/cardiophile.org\/?p=6530"},"modified":"2011-07-24T22:30:29","modified_gmt":"2011-07-24T17:00:29","slug":"doppler-tracing-of-mitral-flow-in-left-ventricular-diastolic-dysfunction","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/doppler-tracing-of-mitral-flow-in-left-ventricular-diastolic-dysfunction\/","title":{"rendered":"Doppler tracing of mitral flow in left ventricular diastolic dysfunction"},"content":{"rendered":"<p><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/Hb7dbVwpvF0\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"\"><\/iframe><\/p>\n<h2><span style=\"color: #008000;\">Doppler tracing of mitral flow in left ventricular diastolic dysfunction<\/span><\/h2>\n<figure id=\"attachment_36360\" aria-describedby=\"caption-attachment-36360\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-36360\" src=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2011\/07\/Doppler-tracing-of-mitral-flow-in-left-ventricular-diastolic-dysfunction.png\" alt=\"Doppler tracing of mitral flow in left ventricular diastolic dysfunction\" width=\"1200\" height=\"853\"><figcaption id=\"caption-attachment-36360\" class=\"wp-caption-text\">Doppler tracing of mitral flow in left ventricular diastolic dysfunction<\/figcaption><\/figure>\n<p>Doppler interrogation of mitral valve is usually done from the apex through the apical four chamber view. The transducer is placed directly over the apex beat and the echo beam is directed upwards. A good four chamber view of the heart is obtained, showing all four chambers and both atrioventricular valves. The Doppler cursor is then aligned along the long axis of the left ventricle, passing through the mitral valve. The Doppler sample volume is placed just distal to the mitral valve so that it picks up the flow in the left ventricular inflow. The initial portion of the mitral diastolic flow is called the E wave (early diastolic) and the final portion which occurs during atrial systole is called the A wave. Normally most of the left ventricular filling occurs during early diastole and the E wave is taller than the A wave. When the ventricular relaxation is impaired in diastolic dysfunction, the atrial contribution to ventricular filling progressively increases and the A wave height increases so that there is equalization of the E and A waves. As the severity of diastolic dysfunction increases, A wave becomes taller than E wave. This phase is known as E\/A reversal. Still further, the E wave becomes taller due to elevated left atrial pressure, mimicking the restrictive filling pattern. This is a type of pseudonormalization of the mitral flow pattern.<\/p>\n<p>The upper half of the image shows the apical four chamber view of the heart. LV: left ventricle; RV: right ventricle; RA: right atrium; LA: left atrium. The Doppler cursor and the sample volume are seen along midline of the left ventricle. The lower half of the image shows the Doppler flow pattern across the mitral valve. The x-axis is time and y-axis represents the velocity in centimeters\/second.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Doppler tracing of mitral flow in left ventricular diastolic dysfunction.<\/p>\n","protected":false},"author":1,"featured_media":36360,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[25,8],"tags":[],"class_list":["post-6530","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-echocardiogram-library-echocardiogram-library","category-echocardiogram-library"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Doppler tracing of mitral flow in left ventricular diastolic dysfunction<\/title>\n<meta name=\"description\" content=\"Doppler tracing of mitral flow in left ventricular diastolic dysfunction: A wave is taller than E wave indicating left ventricular diastolic dysfunction.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/doppler-tracing-of-mitral-flow-in-left-ventricular-diastolic-dysfunction\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Doppler tracing of mitral flow in left ventricular diastolic dysfunction\" \/>\n<meta property=\"og:description\" content=\"Doppler tracing of mitral flow in left ventricular diastolic dysfunction: A wave is taller than E wave indicating left ventricular diastolic dysfunction.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/johnsonfrancis.org\/professional\/doppler-tracing-of-mitral-flow-in-left-ventricular-diastolic-dysfunction\/\" \/>\n<meta property=\"og:site_name\" content=\"All About Cardiovascular System and Disorders\" \/>\n<meta property=\"article:published_time\" content=\"2011-07-24T17:00:29+00:00\" \/>\n<meta name=\"author\" content=\"Johnson Francis\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Johnson Francis\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/doppler-tracing-of-mitral-flow-in-left-ventricular-diastolic-dysfunction\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/doppler-tracing-of-mitral-flow-in-left-ventricular-diastolic-dysfunction\\\/\"},\"author\":{\"name\":\"Johnson Francis\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"headline\":\"Doppler tracing of mitral flow in left ventricular diastolic dysfunction\",\"datePublished\":\"2011-07-24T17:00:29+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/doppler-tracing-of-mitral-flow-in-left-ventricular-diastolic-dysfunction\\\/\"},\"wordCount\":335,\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/doppler-tracing-of-mitral-flow-in-left-ventricular-diastolic-dysfunction\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"articleSection\":[\"Echocardiogram Library\",\"Echocardiography\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/doppler-tracing-of-mitral-flow-in-left-ventricular-diastolic-dysfunction\\\/\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/doppler-tracing-of-mitral-flow-in-left-ventricular-diastolic-dysfunction\\\/\",\"name\":\"Doppler tracing of mitral flow in left ventricular diastolic dysfunction\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/doppler-tracing-of-mitral-flow-in-left-ventricular-diastolic-dysfunction\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/doppler-tracing-of-mitral-flow-in-left-ventricular-diastolic-dysfunction\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"datePublished\":\"2011-07-24T17:00:29+00:00\",\"description\":\"Doppler tracing of mitral flow in left ventricular diastolic dysfunction: A wave is taller than E wave indicating left ventricular diastolic dysfunction.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/doppler-tracing-of-mitral-flow-in-left-ventricular-diastolic-dysfunction\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/doppler-tracing-of-mitral-flow-in-left-ventricular-diastolic-dysfunction\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/doppler-tracing-of-mitral-flow-in-left-ventricular-diastolic-dysfunction\\\/#primaryimage\",\"url\":\"\",\"contentUrl\":\"\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/doppler-tracing-of-mitral-flow-in-left-ventricular-diastolic-dysfunction\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Doppler tracing of mitral flow in left ventricular diastolic dysfunction\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/\",\"name\":\"All About Cardiovascular System and Disorders\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":[\"Person\",\"Organization\"],\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\",\"name\":\"Johnson Francis\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"caption\":\"Johnson Francis\"},\"logo\":{\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\"},\"description\":\"Former Professor of Cardiology, Calicut Govt. Medical Kozhikode, Kerala, India. Editor-in-Chief, BMH Medical Journal\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/author\\\/jf\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Doppler tracing of mitral flow in left ventricular diastolic dysfunction","description":"Doppler tracing of mitral flow in left ventricular diastolic dysfunction: A wave is taller than E wave indicating left ventricular diastolic dysfunction.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/johnsonfrancis.org\/professional\/doppler-tracing-of-mitral-flow-in-left-ventricular-diastolic-dysfunction\/","og_locale":"en_US","og_type":"article","og_title":"Doppler tracing of mitral flow in left ventricular diastolic dysfunction","og_description":"Doppler tracing of mitral flow in left ventricular diastolic dysfunction: A wave is taller than E wave indicating left ventricular diastolic dysfunction.","og_url":"https:\/\/johnsonfrancis.org\/professional\/doppler-tracing-of-mitral-flow-in-left-ventricular-diastolic-dysfunction\/","og_site_name":"All About Cardiovascular System and Disorders","article_published_time":"2011-07-24T17:00:29+00:00","author":"Johnson Francis","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Johnson Francis","Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/johnsonfrancis.org\/professional\/doppler-tracing-of-mitral-flow-in-left-ventricular-diastolic-dysfunction\/#article","isPartOf":{"@id":"https:\/\/johnsonfrancis.org\/professional\/doppler-tracing-of-mitral-flow-in-left-ventricular-diastolic-dysfunction\/"},"author":{"name":"Johnson Francis","@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"headline":"Doppler tracing of mitral flow in left ventricular diastolic dysfunction","datePublished":"2011-07-24T17:00:29+00:00","mainEntityOfPage":{"@id":"https:\/\/johnsonfrancis.org\/professional\/doppler-tracing-of-mitral-flow-in-left-ventricular-diastolic-dysfunction\/"},"wordCount":335,"publisher":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"image":{"@id":"https:\/\/johnsonfrancis.org\/professional\/doppler-tracing-of-mitral-flow-in-left-ventricular-diastolic-dysfunction\/#primaryimage"},"thumbnailUrl":"","articleSection":["Echocardiogram Library","Echocardiography"],"inLanguage":"en-US"},{"@type":"WebPage","@id":"https:\/\/johnsonfrancis.org\/professional\/doppler-tracing-of-mitral-flow-in-left-ventricular-diastolic-dysfunction\/","url":"https:\/\/johnsonfrancis.org\/professional\/doppler-tracing-of-mitral-flow-in-left-ventricular-diastolic-dysfunction\/","name":"Doppler tracing of mitral flow in left ventricular diastolic dysfunction","isPartOf":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#website"},"primaryImageOfPage":{"@id":"https:\/\/johnsonfrancis.org\/professional\/doppler-tracing-of-mitral-flow-in-left-ventricular-diastolic-dysfunction\/#primaryimage"},"image":{"@id":"https:\/\/johnsonfrancis.org\/professional\/doppler-tracing-of-mitral-flow-in-left-ventricular-diastolic-dysfunction\/#primaryimage"},"thumbnailUrl":"","datePublished":"2011-07-24T17:00:29+00:00","description":"Doppler tracing of mitral flow in left ventricular diastolic dysfunction: A wave is taller than E wave indicating left ventricular diastolic dysfunction.","breadcrumb":{"@id":"https:\/\/johnsonfrancis.org\/professional\/doppler-tracing-of-mitral-flow-in-left-ventricular-diastolic-dysfunction\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/johnsonfrancis.org\/professional\/doppler-tracing-of-mitral-flow-in-left-ventricular-diastolic-dysfunction\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/johnsonfrancis.org\/professional\/doppler-tracing-of-mitral-flow-in-left-ventricular-diastolic-dysfunction\/#primaryimage","url":"","contentUrl":""},{"@type":"BreadcrumbList","@id":"https:\/\/johnsonfrancis.org\/professional\/doppler-tracing-of-mitral-flow-in-left-ventricular-diastolic-dysfunction\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/johnsonfrancis.org\/professional\/"},{"@type":"ListItem","position":2,"name":"Doppler tracing of mitral flow in left ventricular diastolic dysfunction"}]},{"@type":"WebSite","@id":"https:\/\/johnsonfrancis.org\/professional\/#website","url":"https:\/\/johnsonfrancis.org\/professional\/","name":"All About Cardiovascular System and Disorders","description":"","publisher":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/johnsonfrancis.org\/professional\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":["Person","Organization"],"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec","name":"Johnson Francis","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","caption":"Johnson Francis"},"logo":{"@id":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g"},"description":"Former Professor of Cardiology, Calicut Govt. Medical Kozhikode, Kerala, India. Editor-in-Chief, BMH Medical Journal","url":"https:\/\/johnsonfrancis.org\/professional\/author\/jf\/"}]}},"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/6530","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/comments?post=6530"}],"version-history":[{"count":0,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/6530\/revisions"}],"wp:attachment":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/media?parent=6530"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/categories?post=6530"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/tags?post=6530"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}