How to assess diastolic dysfunction with echo- new guidelines 2016

More on this topic: www.123sonography.com/diastol....
This video summarizes the new guidelines on diastolic dysfunction issued by the european association for cardiovascular imaging (EACVI) and the American Association for Echocardiography (ASE). What is new on diastolic dysfunction? How have the guidelines changed? What is the role of echocardiography in general? When should you use tissue Doppler? What is the role of E/E´? How do you grade the severity of diastolic dysfunction? Should we still use the term “Pseudonormal filling pattern”? How to estimate filling pressures. Which approach do you choose in patients with reduced left ventricular function? Professor Thomas Binder and Dr. Martin Genger discuss diastolic dysfunction and answer questions of "123sonography members” during an interactive Webinar.

[@jorluher]

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

[@gbart9020]

This was a great summary. Thank you.

[@biolababington7734]

Wonderful insight shared! Thanks guys!

[@subrahmanyamgadhamsetty3933]

excellent presentation and i enjoyed

[@HendassrY]

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

[@ARHelt]

Very well explained! Thank you!

[@scarsickED]

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

[@EvgeniGaidukov]

Great lecture! Thanks a lot!

[@salomeasalome6946]

Interesting! Thank you! Good Luck!

[@salmanmunir765]

Very nice lots of clarity.

[@chadihospital7681]

Thank you Dr. Binder

[@drmawmeawable]

Very helpful. Thank you. //from Thailand

[@GG-nv8gt]

Thank you for the video

[@herbalhealingway]

Great info, thank you

[@ikiiki4417]

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!

[@jorgehenriquedecarvalhoroc674]

Even me as an interventionalist enjoyed very much. Keep teaching us!

[@drabida8179]

very nice informtive lècture

[@subashinisilva3107]

iki iki

[@ericernest2099]

Very informative

[@infodiff]

Thanks guys for the wonderful lecture.

[@EricSmith-bp6xh]

Robert James thanks guys

[@abogrendizer2396]

Vielen Dank 😊, thank u , شكراً

[@BrD4GOD]

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

[@KaZoo62]

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

[@yourmajesty1630]

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.

[@woz2351]

this was excellent

[@srinivasagowda9794]

Very informative lecture

[@toufik326]

thank you very much

[@henryabensur2476]

excellent

[@JohnDoe-rv4kp]

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?

[@nsas955]

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

[@nadirelakhdar245]

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 )

[@juanmanuelcastillo307]

Awesome!!!

[@MrOszi89]

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!

[@muhammadbashir9747]

awesome

[@32ahmmed]

Thx

[@aounishilbaya4292]

HOW PROCEED TO EVALUATE DIASTOLIC DYSFUNCTION IN OTHER PATHOLOGIES. THENKS

[@sonaboyadjian37]

very informative

[@prakashpanda9005]

probably for explanation; otherwise it is for low EF or normal EF with myocardial abnormality.

[@toufik326]

Are there any newer recommendations?

[@asmaaramadan3506]

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 ?

[@fani4520]

What are you talking about

[@matt566]

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.

[@theblacksmitherenbti130]

so, change your mindset my bro.

[@tvr2120]

How are you feeling?

[@eduardcomendant4310]

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

[@alejandrofluquecoqui694]

Exactly I saw the same thing, I understand it was an honest mistake

[@davidjeon4119]

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

[@davidjeon4119]

He says parameter so many times.

[@fani4520]

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

[@waelgalal5808]

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

[@tvr2120]

how are you feeling?

[@waelgalal5808]

@@tvr2120 good

[@yourmajesty1630]

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?

[@yourmajesty1630]

anyone?

[@eduardobt99]

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.

[@franalfaro4184]

I have the same doubt, please answer us

[@andreashartmann6352]

you know the answer now? because of the hypertrophy?

[@fernandomorcerf9078]

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.

[@KaZoo62]

FERNANDO MORCERF thank you for pointing this out.

[@aounishilbaya4292]

option D

[@darcyswanson2155]

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

[@hrttekbw]

C

[@1988idrees]

A

[@iqbalchocha6226]

I am a

[@harrylee2703]

Nice talk! How do you compare this kzbin.info/www/bejne/maPcZn9rm5h_kNk

[@ivandr2923]

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.

[@maryroseblancaflor2160]

Not perfect science