World Care
ECHO in Context
  Echo in Context Teleconferences: 2002 | 2001 | 2000 | 1998 | 1997
 ECHO IN CONTEXT 2002: Presenters | Details | Faculty | Supplements

HOME

TELECONFRENCES
2004
The Changing Left Ventricle

2003
Aortic Valve Disease: New Dimensions in Evaluation and Management

2002
Heart Failure: Echo's Role in and Emerging Health Crisis

2001
Chest Pain in Children & Adults: The Role of Echo

2000
Mitral Regurgitation: New Concept

1998
The Falling Left Ventricle: Diastolic & Systolic Function

1997
Changing the Outcome of Coronary Artery Disease
ECHO GRAND ROUNDS
Digital Integration
LEARN THE BASICS
Echocardiography
Doppler Echo
VIDEO ARCHIVES

Chest Pain in Children and Adults

Mitral Regurgitation: New Concepts

Diastolic and Systolic Function

Changing the Outcome of CAD

BROADCAST SUPPLEMENTS
2000 MV
2001 Chest Pain
2002 Heart Failure



Diastolic Heart Failure
Harry Rakowski, MD

Download this document as a .PDF file.


There are many reasons for Diastolic heart failure. Echo and Doppler are essential for its measurement.
Diastolic heart failure is deadly and a disease of the elderly.
Diastolic dysfunction frequently complicates these conditions. There is usually a progression from impaired relaxation to elevated filling pressures.
In hypertension, the causes of decreased relaxation and increased stiffness are many.
Progression of LVH and diastolic dysfunction in hypertension.
Filling pressures that can be evaluated by Doppler studies.
A normal mitral inflow and those with restrictive disease (bottom) may be similar. The whole story of diastole is not in the mitral tracings alone.
Formula for wedge pressure in patients with decreased EF.
Pitfalls exist everywhere in Doppler but can be categorized.
Echo in Context
To fully evaluate diastolic filling, multiple sites need to be sampled.
Echo in Context
Mitral flow looks normal due to the combination of impaired relaxation and elevated filling pressures.
Echo in Context
Echo in Context
Echo in Context
Echo in Context
Echo in Context
Abnormal right and left sided flow suggests biventricular diastolic dysfunction and infiltrative disease.
Echo in Context
Echo in Context

Return to Broadcast Supplement Index...

HOME     |     TOP

Site designed by Educational Media Services. Duke University Medical Center © 2000 Last updated 11/11/00