TY - CHAP M1 - Book, Section TI - Left Ventricular Diastolic Function A1 - Nicoara, Alina A1 - Popescu, Wanda M. A2 - Mathew, Joseph P. A2 - Nicoara, Alina A2 - Ayoub, Chakib M. A2 - Swaminathan, Madhav PY - 2018 T2 - Clinical Manual and Review of Transesophageal Echocardiography, 3e AB - In recent years, diastolic function has received greater recognition for its impact on overall cardiac performance. Diastole is no longer regarded as a passive phase of the cardiac cycle, but rather as a complex sequence of interrelated events, which are dependent on loading conditions, heart rate, and contractility, and ultimately influence the systolic function of the left ventricle (LV). Studies have suggested that patients with diastolic dysfunction presenting for cardiac surgery are prone to hemodynamic instability and potentially worse outcomes1 and that patients with diastolic heart failure are at increased risk for decompensation in the perioperative period.2 Therefore, the perioperative echocardiographer should be familiar with the pathophysiology of diastolic heart failure and understand how to monitor and optimize diastolic function. Although advances in ultrasound technology have rendered Doppler echocardiography the clinician's “Rosetta Stone” for diastolic function evaluation, this chapter will familiarize readers with all the echocardiographic techniques routinely employed to assess LV diastolic function, as well as more modern and sophisticated methods of diastolic function assessment, explain the significance of these diastolic indices, and provide a diagnostic algorithm to evaluate perioperative diastolic function. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1195101802 ER -