How to assess diastolic dysfunction with echo- new guidelines 2016 

It's a pleasure to listen and learn from dedicated experts on echocardiography.

This was a great summary. Thank you.

Wonderful insight shared! Thanks guys!

Excellent video.. thank u so much for the simplification.

excellent presentation and i enjoyed

mazing and comprehensive. Just starded echocardiography residency. It's Helping a lot.

Thank you Dr. Binder

Interesting! Thank you! Good Luck!

Very well explained! Thank you!

Very helpful. Thank you. //from Thailand

Great lecture! Thanks a lot!

Very nice lots of clarity.

Thanks guys for the wonderful lecture.

great summary, very useful and simplified especially for physicians who do not have a lot of experience in estimation of diastolic dysfunction. Thanks for sharing and keep up the good work!

Thank you for the video

Great info, thank you

this was excellent

Vielen Dank 😊, thank u , شكراً

thank you very much

Very informative lecture

excellent

excellent. thank you. i have been using the same old guidelines for 4 years like my head is in the sand. and that flowsheet looked like greek to me til you went through it.

Beautiful lecture! You guys sound like Arnold Swarzenegar sometimes lol 😆

Awesome!!!

Never disappointed from 123 lectures. Where can I get the new guidelines printout on the 123 website?

very informative

Thanks for this great presentation & information. But Kindly to review the presentation at 21:20 ( The obtained measures of E and A waves are wrongly placed) E =0.53 ms & A = 0.68 ms ( E/A = 0.78 )

awesome

Very great and interesting presentation and very helpful ...many thanks. How can i get the complete lectures of 123 sonography?

Thx

In a patients with normal EF, observing reversal in E and A wave, can one still determine that there is indeed diastolic disfunction without looking at any other parameters?

Are there any newer recommendations?

According to the guideline, the first patient only has 2 positive findings (low e' and high E/e', normal LA volume, and TR velocity is unknown), so his in the indetermine category, but they say he has diastolic disfunction. Anyone could explaint that? Thanks!

My stand on the assessment of systolic dysfunction is that the parameters in which it is done has not changed for many years.

HOW PROCEED TO EVALUATE DIASTOLIC DYSFUNCTION IN OTHER PATHOLOGIES. THENKS

we can apply it in emergency or not for assessment of patients with shock ? would it help / if so, will we use the same algorithm ?

@ 20:53min i think it was supposed to be the other way aroung E .53 on the left and A .68 on the right

Im a 32 yo male with exercise intolerance. in the last 6 years my echos have trended from 55% EF, e/a of 1.3, E’ of 14 and E/E’ of 4, decel time of 160ms in 2015. now in 2022 my EF is 70%, e/a is 0.8, E’ is 10, E/E’ is still around 4, and decel time is 260ms. Ive told docs again and again theres no way this is “normal”. Im met with disbelief because “my filling pressures are normal”. its really irritating to hear at this point. I have serious intolerance of high heart rates.

THIS REPORT WAS NOT A GUIDLINE TO BEGIN WITH!!!! IF YOU READ TILL THE END YOU WILL SEE A DISCLAIMER: The statements and recommendations contained in this report are based primarily on the opinions of experts, rather than on scientifically-verified data. The ASE and the EACVI make no express or implied warranties regarding the completeness or accuracy of the information in this report, including the warranty of merchantability or fitness for a particular purpose. In no event shall the ASE or the EACVI be liable to you, your patients, or any other third parties for any decision made or action taken by you or such other parties in reliance on this information. It seems it was just a courtesy referrence!!!!!!!!!!!!!!!! This is what the Journal says: This report is made available by the ASE and the EACVI as a courtesy reference source for members.

Very informative! Congrats! Please, I have a doubt: when you show the example around minute 30:00, why are you using the algorithm for low LVEF if the EF is normal? Sorry if I missed some info, I would appreciate very much if you could answer this. Thank you.

I still didn't hear a clear answer. When do you consider grade 1 2 3?! Even if you have all 4 positive

at 31:14 you say that if you have E/A less than .08 and you have an A wave less than 50cm, then you have impaired relaxation. but the formula is written +E less than 50cm. why do you say A, but the formula shows an E?

option D

plz i want ask about diastolic dysfunction grade 1 without symptoms i have 36 years is it dangerous if i make exercise grade 1 can return to normal

a nao, isso nao sei nao, intende, nao, eu tambem. ate amanha se deus quiser.

C

A

I am a

Nice talk! How do you compare this ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-cry5L5f3LZw.html

Assessing diastolic dysfunction is kind of overblown topic ideal for old chubby scholars who spend more time lecturing on congresses than treating patients in the trenches. Most of it is just common sense. I mean, when you have a 70-year-old patient with biatrial enlargement and SV of 55 ml who cares if Simpson shows EF 60%, you just know he needs diuretics. From my standpoint, the easiest and quickest and most accurate way of assessing elevated filling pressures of LV is to perform the lung ultrasound and voila! You can teach LUS a 5-year-old baby in a matter of hours.

Not perfect science