Our mission is to become a worldwide reference for education in the field for all professionals involved in the process to disseminate knowledge & skills of Acute Cardiovascular Care.
Our mission is to promote excellence in clinical diagnosis, research, technical development, and education in cardiovascular imaging.
Our mission is to promote excellence in research, practice, education and policy in cardiovascular health, primary and secondary prevention.
Our mission is to reduce the burden of cardiovascular disease through percutaneous cardiovascular interventions.
Improving the quality of life and reducing sudden cardiac death by limiting the impact of heart rhythm disturbances.
Our mission is to improve quality of life and longevity, through better prevention, diagnosis and treatment of heart failure, including the establishment of networks for its management, education and research.
The ESC Working Groups' goal is to stimulate and disseminate scientific knowledge in different fields of cardiology.
The ESC Councils' goal is to share knowledge among medical professionals practicing in specific cardiology domains.
Dr. Nico Van de Veire,
Evaluation of diastolic function remains a challenge for the clinician due to the large number of different available parameters. In this session, 4 experts defended their viewpoint.
Dr. D Leung (Sydney, AU) emphasized the weak points of conventional methods such as the transmitral inflow which is age-dependent and only reflects instantaneous diastolic function. Even tissue velocity imaging has drawbacks such as angle dependency. As an alternative, he suggested the use of the left atrial volume -highly reproducible - if measured with the biplane method. Left atrial enlargement is not part of normal ageing and truly reflects diastolic dysfunction. Moreover, it offers prognostic information.
Dr. O. Smiseth (Oslo, NO) addressed novel myocardial deformation techniques such as velocity derived strain, speckle tracking and torsion-twisting. Although these techniques are interesting research tools, they are not ready for routine use. Pulsed wave early diastolic velocity (E’) however, is ready for clinical practice. Dr. Smiseth advised to measure E’ at the septal and lateral mitral valve annulus and to average these values. An E/E’ ≥ 15 reflects elevated filling pressures.
According to Dr. A. Fraser (Cardiff, UK), there is still a place for transmitral flow pattern and pulmonary vein flow, provided that the information is integrated with other parameters such as E/E’. He also addressed an exciting new issue: evaluating diastolic function using semi-supine exercise echocardiography.
In his presentation, Dr. E. Nagel (Berlin, DE), demonstrated the additional value of using MRI to evaluate diastolic function. Rotation-volume loops provide interesting pathophysiological information. MRI is also an excellent tool to help with the underlying causes such as hypertrophic cardiomyopathy, inflammatory myocarditis and pericardial disease.
There is no ideal test to diagnosis diastolic dysfunction. Diastolic function should be assessed by integrating simple tools (left atrial volume, mitral inflow, pulmonary venous flow) and more advanced tools (pulsed wave TDI). MRI provides additional diagnostic information.
Echocardiographic diagnosis of left ventricular diastolic dysfunction Clinical Seminar
Our mission: To reduce the burden of cardiovascular disease
© 2017 European Society of Cardiology. All rights reserved