Echocardiography Assessment of Left Ventricular Diastolic Function

Echocardiographic assessment of left ventricular diastolic function is an integral part of the routine evaluation of patients presenting with symptoms of unexplained exertional dyspnea or heart failure. This educational activity will present the current guidelines for diastolic function assessment using echocardiography, including two-dimensional (2-D) and Doppler parameters to grade diastolic dysfunction.   

Original Release Date: February 2021
Review Date: January 2022

Target Audience

Cardiologists, vascular surgeons, interventional radiologists, pharmacists, pharmacy technicians, echocardiography and noninvasive vascular testing specialists, nurse practitioners, physician assistants and sonographers. 

Learning Objectives

  • Explain the clinical setting of diastology.
  • Define the pathophysiology from Normal → Grade I → Grade II → Grade III DD.
  • Assess echo parameters to interpret proper diastolic dysfunction.
  • Recognize the current guidelines for grading diastolic dysfunction.
Additional information
Bibliography: 
  • Nagueh, S.F., Smiseth, O.A., Appleton, C. P., Byrd, B., Dokainish, H., Edvardsen, T., & Waggoner, A.D. (2016). ASE/EACVI Guidelines and Standards. Recommendations for the evaluatin of left ventricular diastolic function by echocardiography: An update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr, 29(4), 277-314.
  • Mehrzad, R., Rajab, M., & Spodick, D. H. (2014). The three integrated phases of left atrial macrophysiology and their interactions. International journal of molecular sciences, 15(9), 15146-15160.
  • Reddy, Y. N., Obokata, M., Verbrugge, F. H., Lin, G., & Borlaug, B. A. (2020). Atrial dysfunction in patients with heart failure with preserved ejection fraction and atrial fibrillation. Journal of the American College of Cardiology, 76(9), 1051-1064
Course Summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Pharmacy
Course opens: 
02/01/2021
Course expires: 
01/31/2023
Part of: 
Echocardiography e-Learning Series

Elliott J. Elias, M.D., MPH, FACC, FASE                            
Cardiologist
Medical Director of Cardiac and Structural Imaging
Miami Cardiac & Vascular Institute
Baptist Health South Florida
Miami, Florida 

Socrates V. Kakoulides, M.D.
Cardiologist
Miami Cardiac & Vascular Institute
Baptist Health Medical Group
Miami, Florida 

Muhammad Hasan, MBBCh, RPVI, RVT, RDCS, RDMS
Cardiovascular Clinical Education and Credentialing 
Miami Cardiac & Vascular Institute 
Baptist Health South Florida
Miami, Florida

Elliott J. Elias, M.D., speaker and conference director, disclosed that he is a member of the speakers’ bureau for Abbott Laboratories, and he will not include off-label or unapproved product usage in his presentation or discussion.

Brian J. Schiro, M.D., conference director, disclosed that he receives grant/research support from Medtronic and that he is a member of the speakers' bureau for Penumbra and Sirtex. 

All of the relevant financial relationships listed for these individuals have been mitigated.

Socrates V. Kakoulides, M.D., and Muhammad Hasan, MBBCh, RPVI, faculty of this educational activity, non-faculty contributors and others involved in the planning, development and editing/review of the content have no relevant financial relationships to disclose with ineligible companies*.  

*Ineligible companies -- Companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Sonographer Credit FAQ.

Available Credit

  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Pharmacy
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