60 Seconds of Echo Teaching Question: Does this patient have diastolic heart failure?

We have some questions for you to answer:
- Do you sometimes struggle with the assessment of "diastolic dysfunction?
- How would you grade this patient?
- Are filling pressures elevated? Does this patient have "pure" diastolic heart failure?
We provide you with general information about the patient. Comment with your answers in the comment section.

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[chrysoulafragiadaki]

LA dilated, in combination of L wave of mitral inflow pattern plus E/E'=22, all these are finding of elevated LA and LV pressures and diastolic dysfunction type II ( pseudo normal pattern)

[ТимурБайбулатов-мй]

Grade 2 diastolic dysfunction, LV filling pressure elevated

[meghaa]

Grade II LV diastolic dysfunction with increased LVEDP.

[mkashiouris]

Restrictive filling pattern with elevated LAP (26 mmHg) based on very high E/e’ pseudonormal E/A ratio and early deceleration

[cesargudino]

ain´t no doubt, this patient has diastolic dysfunction type II with elevated pressure, as part of cardiac failure with preserved ventricle function . Saludos desde Mexico . bye

[samreenfathima]

Diastolic dysfunction with increase lv filling pressure

[mohamedkhiredinehafiane]

Diastolic dysfunction grade 2 pattern pseudo normal, filling pressure elevated, EF is not sufficient to assess systolic function in this case, we need to practice speckle tracking.

[sashikantanayak]

My ECG is normal but Echo 2d has Mild concentric LVH, Grade I diastolic dysfunction so which one is true ?

[ghufranullahdawar]

if the dopplor and measurement information is not available. How would one identify an abnormal diastolic dysfunction qualitatively by simply looking at apical four or two chamber view or subcostal view at early stage where the structure look completely normal. offcourse raise LAP and LVEDP are associated with diastolic dysfunction but again this is measurement.

[jorgebenjaminklyver]

Disfuncion Diastolica con patron pseudonormal. E/E 0 22 alta PFDVI.