Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content ++|PrintNormalImpaired RelaxationPseudonormalRestrictive FillingTMFE/A1-2<0.80.8-1.5≥2DT (ms)150-220>200150-220<160IVRT (ms)60-100>100>100<60PVFPV-S/PV-D>1>1<1<1PV-AR (cm/s)<35<35>35>35ARdur–Adur<30<30>30>30Vp>55<45<45<45E′>8 (septal)>8 (septal)<8 (septal)<8 (septal)>10 (lateral)>10 (lateral)<10 (lateral)<10 (lateral)E/E′<8 (septal)≤8 (septal)9-12>15 (septal)<8 (lateral)≤8 (lateral)(average)a>12 (lateral)a Average of septal and lateral velocities. TMF, transmitral flow; E, early filling peak velocity; A, late-filling peak velocity; DT, deceleration time of E wave; IVRT, isovolumic relaxation time; PV-S, peak velocity of systolic component; PV-D, peak velocity of diastolic component; PV-AR, peak velocity of atrial reversal flow; PV-ARdur, duration of atrial reversal flow; Adur, duration of A wave; PVF, pulmonary venous flow; E′, peak tissue velocity in early diastole; Vp, velocity of propagation. ++ 1 ++ ++|PrintAge Group (years)Doppler ParameterMeasurement<2021-60a>60Transmitral lowIVRT (ms)50 ± 967-7487 ± 7E/A ratio1.9 ± 0.51.5-1.31.0 ± 0.2DT (ms)142 ± 19166-181200 ± 29A dur (ms)113 ± 17127-133138 ± 19Pulmonary vein flowS/D ratio0.8 ± 0.181.0-1.21.4 ± 0.5Ar (cm/s)16 ± 1021-2325 ± 9Ar dur (ms)66 ± 3996-112113 ± 30Lateral annulus tissue velocityE′ (cm/s)21 ± 3.820-1613 ± 3.5E′/A′ ratio3.11.9-1.50.9 ± 0.4 Values are expressed as mean ± standard deviation. aFor the age group 21-60, values are expressed as range of means. A′, late lateral annulus tissue velocity; A, late transmitral velocity; Ar, pulmonary venous atrial reversal velocity; D, pulmonary venous diastolic velocity; DT, deceleration time; dur, duration; E′, early lateral annulus tissue velocity; E, early transmitral velocity; IVRT, isovolumic relaxation time; ms, milliseconds; S, pulmonary venous systolic velocity. ++ ++1. Nagueh SF, Appleton CP, Gillebert TC, et al. Recommendations for the evaluation of left ventricular diastolic function by echocardiography. J Am Soc Echocardiogr. 2009;22:107-133. [PubMed: 19187853] Your MyAccess profile is currently affiliated with '[InstitutionA]' and is in the process of switching affiliations to '[InstitutionB]'. Please click ‘Continue’ to continue the affiliation switch, otherwise click ‘Cancel’ to cancel signing in. Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Username Error: Please enter User Name Password Error: Please enter Password Forgot Username? Forgot Password? Sign in via OpenAthens Sign in via Shibboleth