Diastololic Fx SUMMARY (Important stuff)

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31 Terms

1
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What to measure for Diastolic Fx (9)

  1. 2D echo Eval

  2. LA Volume

  3. MV inflow Doppler

  4. TDI at MV Annulus (lateral wall & septum)

  5. E/e’ Ratio - Mitral Doppler E/TDI e’

  6. Pulm Venous Pressure

  7. PAP - Pulm Artery Pressure

  8. IVRT - Isovolumetric relaxation time

  9. Color M-Mode - Flow propagation velocity

2
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Which HF results in HFrEF and HFpEF

HFrEF - Systolic HF: Inability of the heart to pump enough blood to meet the bodys needs

HFpEF - Diastolic HF: Diastolic dysfunction with symptoms

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3 most clinically relevant diastolic Fx parameters

  • ventricular relaxation

  • ventricular compliance

  • filling pressures

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Abnormal relaxation =

Abnormal relaxation = Prolonged IVRT

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Impaired Compliance (Severe diastolic dysfunction) =

Impaired Compliance (Severe diastolic dysfunction) = Shortened ivrt

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E/A Ratio

  • Normal adult

  • Grade 1 Abnormal relaxation

  • Grade 2 Pseudonormal

  • Grade 3 Restrictive*

E/A Ratio

Normal adult

> or = 0.8

Grade 1 Abnormal relaxation

< or = 0.8

Grade 2 Pseudonormal

0.8 - 2 reversal w/ Valsalva

Grade 3 Restrictive*

>2

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Deceleration time ms

  • Normal adult

  • Grade 1 Abnormal relaxation

  • Grade 2 Pseudonormal

  • Grade 3 Restrictive*

Deceleration Time ms

Normal adult

<150 - 240 ms

Grade 1 Abnormal relation

> or = 240 ms

Grade 2 Pseudo normal

150 - 240 ms

Grade 3 Restrictive*

< 150 ms

8
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IVRT ms

  • Normal adult

  • Grade 1 Abnormal relaxation

  • Grade 2 Pseudonormal

  • Grade 3 Restrictive*

IVRT ms

Normal adult

70 - 90 ms

Grade 1 Abnormal relation

> 90 ms

Grade 2 Pseudo normal

< 90 ms

Grade 3 Restrictive*

< 50 ms

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PV S/D

  • Normal adult

  • Grade 1 Abnormal relaxation

  • Grade 2 Pseudonormal

  • Grade 3 Restrictive*

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pv a Duration ms

  • Normal adult

  • Grade 1 Abnormal relaxation

  • Grade 2 Pseudonormal

  • Grade 3 Restrictive*

PV a Duration ms

Normal adult

> or = 30 ms

Grade 1 Abnormal relation

< or = 0 ms OR > or = 30 ms

Grade 2 Pseudo normal

> or = 30 ms

Grade 3 Restrictive*

> or = 30 ms

11
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PV a reversal velocity cm/s

  • Normal adult

  • Grade 1 Abnormal relaxation

  • Grade 2 Pseudonormal

  • Grade 3 Restrictive*

PV a reversal velocity cm/s

Normal adult

< 35 cm/s

Grade 1 Abnormal relation

< 35 cm/s

Grade 2 Pseudo normal

> or = 35 cm/s

Grade 3 Restrictive*

> or = 35 cm/s

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Color M- mode Propagation velocity m/s

  • Normal adult

  • Grade 1 Abnormal relaxation

  • Grade 2 Pseudonormal

  • Grade 3 Restrictive*

Color M- mode Propagation velocity m/s

Normal adult

> 55 m/s

Grade 1 Abnormal relation

> 45 m/s

Grade 2 Pseudo normal

< 45 m/s

Grade 3 Restrictive*

< 45 m/s

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E’ cm/s

  • Normal adult

  • Grade 1 Abnormal relaxation

  • Grade 2 Pseudonormal

  • Grade 3 Restrictive*

E’ cm/s

Normal adult

> 8 cm/s

Grade 1 Abnormal relation

< 8 cm/s

Grade 2 Pseudo normal

< 8 cm/s

Grade 3 Restrictive*

< 8 cm/s

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E/E’

  • Normal adult

  • Grade 1 Abnormal relaxation

  • Grade 2 Pseudonormal

  • Grade 3 Restrictive*

E/E’

Normal adult

< 10

Grade 1 Abnormal relation

> 10

Grade 2 Pseudo normal

> 10

Grade 3 Restrictive*

> 10

15
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TR Velocity m/s

  • Normal adult

  • Grade 1 Abnormal relaxation

  • Grade 2 Pseudonormal

  • Grade 3 Restrictive*

TR velocity m/s

Normal adult

< 2.8

Grade 1 Abnormal relation

> 2.8

Grade 2 Pseudo normal

> 2.8

Grade 3 Restrictive*

> 2.8

16
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Pathophysiology

  • Normal

  • Mild Grade 1

  • Moderate Grade 2

  • Severe Grade 3

  • Severe Grade 4

Pathophysiology

Normal

Mild Grade 1

↓Relaxation

Moderate Grade 2

PseudoNormal

↓Relaxation

↑LVEDP

Severe Grade 3

↓Relaxation

↓Compliance

↑LVEDP

Severe Grade 4

↓Relaxation

↓↓Compliance

↑↑LVEDP

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MV Inflow DT

  • Normal

  • Mild Grade 1

  • Moderate Grade 2

  • Severe Grade 3

  • Severe Grade 4

MV Inflow DT

Normal

160 - 240 ms

Mild Grade 1

> 240 ms

Moderate Grade 2

160 - 240 ms

Severe Grade 3

< 160 ms

Severe Grade 4

< 130 ms

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MV E/A

  • Normal

  • Mild Grade 1

  • Moderate Grade 2

  • Severe Grade 3

  • Severe Grade 4

MV E/A

Normal

0.9 - 1/5

Mild Grade 1

<0.9

Moderate Grade 2

0.9 - 1.5

Severe Grade 3

> 2

Severe Grade 4

> 2.5

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Valsalva

  • Normal

  • Mild Grade 1

  • Moderate Grade 2

  • Severe Grade 3

  • Severe Grade 4

Valsalva

Normal

Negative

Mild Grade 1

Positive

Moderate Grade 2

Positive

Severe Grade 3

Positive

Severe Grade 4

Negative

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TDI - e’

  • Normal

  • Mild Grade 1

  • Moderate Grade 2

  • Severe Grade 3

  • Severe Grade 4

TDI - e’

Normal

> or = 10

Mild Grade 1

< 10

Moderate Grade 2

< 8

Severe Grade 3

< 5

Severe Grade 4

< 5

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E/e’ Septal

  • Normal

  • Mild Grade 1

  • Moderate Grade 2

  • Severe Grade 3

  • Severe Grade 4

E/e’ Septal

Normal

1 - 14

Mild Grade 1

> or = 15

Moderate Grade 2

> or = 15

Severe Grade 3

> or = 20

Severe Grade 4

> or = 25

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Pulm Vein

  • Normal

  • Mild Grade 1

  • Moderate Grade 2

  • Severe Grade 3

  • Severe Grade 4

Pulm Vein

Normal

S>D

(S<D in young pt)

Mild Grade 1

S>>D

Moderate Grade 2

S<D

Severe Grade 3

S<<D

Severe Grade 4

S<<D

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Color doppler Vp

  • Normal

  • Mild Grade 1

  • Moderate Grade 2

  • Severe Grade 3

  • Severe Grade 4

Color doppler Vp

Normal

>50

Mild Grade 1

<50

Moderate Grade 2

<50

Severe Grade 3

<50

Severe Grade 4

<50

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IVRT ms

  • Normal

  • Mild Grade 1

  • Moderate Grade 2

  • Severe Grade 3

  • Severe Grade 4

IVRT ms

Normal

70 - 90 ms

Mild Grade 1

>90 ms

Moderate Grade 2

< 90 ms

Severe Grade 3

< 50 ms

Severe Grade 4

< 50 ms

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Mitral inflow

  • Normal (young)

  • Normal (adult)

  • Stage 1* Impaired relaxation

  • Stage 2 Pseudonormal

  • Stage 3 Restrictive (reversible)

  • Stage 4 Restrictive (Fixed)

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Pulm venous flow

  • Normal (young)

  • Normal (adult)

  • Stage 1* Impaired relaxation

  • Stage 2 Pseudonormal

  • Stage 3 Restrictive (reversible)

  • Stage 4 Restrictive (Fixed)

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Mitral annulus velocity

  • Normal (young)

  • Normal (adult)

  • Stage 1* Impaired relaxation

  • Stage 2 Pseudonormal

  • Stage 3 Restrictive (reversible)

  • Stage 4 Restrictive (Fixed)

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color M-Mode doppler

  • Normal (young)

  • Normal (adult)

  • Stage 1* Impaired relaxation

  • Stage 2 Pseudonormal

  • Stage 3 Restrictive (reversible)

  • Stage 4 Restrictive (Fixed)

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LV relaxation

  • Normal (young)

  • Normal (adult)

  • Stage 1* Impaired relaxation

  • Stage 2 Pseudonormal

  • Stage 3 Restrictive (reversible)

  • Stage 4 Restrictive (Fixed)

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LV Compliance

  • Normal (young)

  • Normal (adult)

  • Stage 1* Impaired relaxation

  • Stage 2 Pseudonormal

  • Stage 3 Restrictive (reversible)

  • Stage 4 Restrictive (Fixed)

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LA Pressure

  • Normal (young)

  • Normal (adult)

  • Stage 1* Impaired relaxation

  • Stage 2 Pseudonormal

  • Stage 3 Restrictive (reversible)

  • Stage 4 Restrictive (Fixed)

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