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The study of left ventricular diastolic function by Doppler echocardiography: the essential for the clinician

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Published Online: Jul 27th 2018 Heart International 2007;3(1-2):42-50
Authors: Pompilio Faggiano, Enrico Vizzardi, Emanuela Pulcini, Diego Maffeo, Francesco Fracassi, Savina Nodari, Livio Dei Cas
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Overview

An abnormal diastolic function of left ventricle represents the main pathophysiological mechanism responsible for different clinical states such as restrictive cardiomyopathy, infiltrative myocardial disease and, specially, diastolic heart failure (also called heart failure with preserved systolic function), which is present in a large number of patients with a clinical picture of pulmonary congestion.
Although the invasive approach, through cardiac catheterization allowing the direct measurement of left ventricular filling pressure, myocardial relaxation and compliance, is considered the gold standard for the identification of diastolic dysfunction, several noninvasive methods have been proposed for the study of left ventricular diastolic function. Doppler echocardiography represents an excellent noninvasive technique to fully characterize the diastolic function in health and disease. (Heart International 2007; 3: 42-50)

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Diastolic function, Heart failure, Doppler echocardiography

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Dr. Pompilio Faggiano, Chair of Cardiology, University of Brescia, Piazza Spedali Civili, 25100 Brescia – Italy, faggiano@numerica.it

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