Echocardiographic Evaluation of the Diastolic Function and Dysfunction

  • Anita Sadeghpour
  • Azin Alizadehasl
  • Samaneh Pourhosseinali


Assessment and study of the diastolic function should be an integral part of the cardiac function evaluation. At present, echocardiography is the best noninvasive way to study and evaluate the diastolic function and to estimate filling pressures. M-mode, 2D, and Doppler (blood flow, tissue, and color) echocardiographic examinations are all useful in evaluating the diastolic function. The left ventricular diastolic filling encompasses a series of events that are affected by numerous factors such as myocardial relaxation, myocardial compliance, cardiac rhythm, and pericardial compliance.

Classification of the diastolic filling pattern (or diastolic dysfunction) is based on several parameters, which will be explained in this chapter.


Diastolic dysfunction Mitral inflow pattern Tissue Doppler imaging Pulmonary venous flow Grading of diastolic function 



Peak A-wave velocity of the mitral valve (cm/s)


TDI of the mitral annulus


Atrial fibrillation


Pulmonary valve atrial reversal


Aortic valve


Continuous wave


Deceleration time


Peak E-wave velocity of the mitral valve (cm/s)


TDI of the mitral annulus


Ejection fraction


Global longitudinal strain


Heart rate


Isovolumic contraction time


Isovolumic relaxation time


Left atrium


Left atrial pressure


Left ventricle


Left ventricular end-diastolic pressure




Mitral valve


Pulmonary capillary wedge pressure


Pulmonary valve atrial reversal


Pulmonary veins


First systolic component of the pulmonary vein


Second systolic component of the pulmonary vein


Diastolic component of the pulmonary vein


Pulsed wave


Right ventricle


Strain rate


Tissue Doppler imaging


Transesophageal echocardiography


Transthoracic echocardiography


Tricuspid valve


Velocity of propagation


Velocity of time integral


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Anita Sadeghpour
    • 1
  • Azin Alizadehasl
    • 2
  • Samaneh Pourhosseinali
    • 3
  1. 1.Echocardiography Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical ScienceTehranIran
  2. 2.Echocardiologist, Echocardiography and Cardiogenetic Research CentersCardio-Oncology Department, Rajaie Cardiovascular Medical and Research CenterTehranIran
  3. 3.Echocardiography Research Center, Rajaie Cardiovascular Medical and Research CenterIran University of Medical SciencesTehranIran

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