Issues in diagnosing grade 1 diastolic dysfunction: Pearls and Perils

Doppler E/A ratio reversal is probably the most reported abnormality in clinical echocardiography. We are also pleased to label it as a grade 1 diastolic dysfunction. Making a significant population who come for regular health checks anxious and worried. Sharing a presentation from the Annual conference ECHO INDIA 2019, I participated in a symposium on Diastolic dysfunction. Topic : Issues in diagnosing grade 1 diastolic dysfunction: Pearls and Perils How did we get into this academic trap? Should we continue this practice? The current ASE guidelines 2016 have a clear message. It has taken off the E/A ratio from the Initial screening for diastolic dysfunction. Summary & Final message  Are we ready for the change? By understanding a simple concept, one can reduce the incidence of indiscriminate diagnosis of grade 1 diastolic dysfunction. E/A ratio apparently has a no role in diagnosing diastolic dysfunction in the normal population who have normal EF %. Hence, never report E/A ratio in Isolation as grade 1 diastolic dysfunction. However, in patients with HFrEF it does help in triaging diastolic dysfunction. Always look for symptoms and 2D features  (Unexplained dyspnea, LA enlargement, LVH ) before considering diastolic dysfunction. *For advanced readers and researchers grade 1 diastolic dysfunction does have a deep meaning and always continues to puzzle. Patient corner For all those anxious patients who ramble around with a report of grade 1 diastolic dysfunction, ...
Source: Dr.S.Venkatesan MD - Category: Cardiology Authors: Tags: Cardiology-Echocardiography Diastolic dysfunction Echocardiography-hemodynamics classification of diastolic dysfunction diastolic dysfunction ppt echoindia grade 1 dd HFpEF indian academy of echocardiography what is grae 1 diastolic dysf Source Type: blogs