Diastolic Function — A Simple Approach

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Uploaded by on Nov 20, 2010

In this video, we will teach you 5 simple rules that help you to assess diastolic function. Diastolic function is a complex issue with a complex physiology behind it. It is not possible to directly visualize the relaxation of the ventricle. Every experienced echocardiographer can eyeball systolic left ventricular function. However for diastolic dysfunction this approach is not possible. Using our 5 simple rules, everyone of you will be able to assess diastolic function like a pro. Echocardiography can help us determine diastolic function better than any other method. At the end of this video, Tommy will give us some hints on how to assess diastolic function in a demo patient.

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  • thank you for the great video!

  • I did a 2 D echo doppler couple months ago. The initial report handed to me by the sonographer was diastolic dysfunction but, the final cardiologist report stated I had an normal echo. Hmmmmm.

  • Excellent. Videos like this make the world a better place.

  • unfortunately, most referring physicians are disinterested in diastolic dysfunction, many don't even order doppler. It is still important to know how to performe these measurements and to be able to identify dd, as now most cardiologists use these to treat their patients.

  • well done, good info for students or young sonographers.

  • thank u

  • @ckfreeman20

    Where regional dysfunciton is present it is vital to messure it in the medial and lateral basal segments and use the average. Right ventricular dysfunction will affect the medial annulus excursion, so that should be taken into account when present as well.

    In normal subjects the lateral annulus more accurately reflects diastolic properties.

    You should check out the ASE guidelines for assessment of diastolic function.

  • Hi Thomas....as an anesthetist I hvae been studying echocardiography over the last two years. Your video was absolutley fantastic...clarified a lot of things and was such a great simple approach. Thank you. . im going to check out your other videos.

  • What is the best place to get your TDI, medial or lateral? I've heard medial is more accurate than lateral and I've also heard vice versa. Anyone got a answer to this?

  • @OverdrivePacing Yes, the E/é ratio is still usefull in patients with atrial fibrillation.

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