Left Ventricular Diastolic Dysfunction

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A PowerPoint presentation on the basics of Diastolic Dysfunction evaluation by TEE.Dr Terry Bejot is a cardiovascualr anesthesiologist who is also the creator and publisher of E-echocardiography.com, the online course and resource for learning TEE.

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LV Volume

LV Inflow

E

A

MV Opening Click

AV Closing Click

MV Closing

AV Opening Click

End Systole

Atrial Kick

Diastasis

Rapid Filling

Site Velocity LVI E velocity 0.82+- 0.14 m/sec Decel Slope 5 +- 1.4 m/sec2 LA Filling Systole 0.56 +- 0.13 m/sec Diastole 0.44+-0.16 m/sec Atrial reversal 0.32+-0.07 m/sec

RVI E velocity 0.3-0.7 m/sec RA Filling (SVC, HV) Systole 0.46 +- 0.08 m/sec Diastole 0.44 +- 0.16 m/sec

Vel

ocit

y (m

/sec

)

IVRT

E at A Velocity

E Velocity Early Diastolic Deceleration Slope

DT

Neck Vein Pulsations

Hepatic Vein Doppler

a v a

Systolic RA Filling

Diastolic RA Filling

Pulmonary Vein Doppler

a a systolic diastolic

ECG

a X-descent

v y-descent

a

Pulmonary Vein Doppler

PVl

PVa systolic diastolic

PVa

PVe PVd

The End

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