Diastolic Function - A Simple Approach

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In this video, we will teach you 5 simple rules that help you to assess diastolic function. Diastolic function is a complex issue with a complex physiology behind it. It is not possible to directly visualize the relaxation of the ventricle. Every experienced echocardiographer can eyeball systolic left ventricular function. However for diastolic dysfunction this approach is not possible. Using our 5 simple rules, everyone of you will be able to assess diastolic function like a pro. Echocardiography can help us determine diastolic function better than any other method. At the end of this video, Tommy will give us some hints on how to assess diastolic function in a demo patient.

[@TCBRCB]

You 123 SONOGRAPHY guys ROCK!

[@Rssnkgp02]

Excellent. Videos like this make the world a better place.

[@kite99jb]

Hi Thomas....as an anesthetist I hvae been studying echocardiography over the last two years. Your video was absolutley fantastic...clarified a lot of things and was such a great simple approach. Thank you. . im going to check out your other videos.

[@simrankundan8900]

Sir as a surgeon, these concepts are a little difficult for us to grasp, you have elucidated it very well. Thank you. I enjoy your videos very much.

[@axisgraf]

So beautifully explained and crystal clear. Thanks a bunch...

[@dewanmohammadkarimulislam1954]

Sir,
with due respect,.........
Thanks a lot.
This is the easiest & very clear description in a very short period of time, I have ever seen.
......Many many thanks again.

[@jenniferhearney644]

Thank you for explaining it in a simple to understand way.

[@shaykay3075]

Best explained video i found so far about this. Thank you

[@MsSunshine_]

Thank you!! It makes so much sense now

[@dericdotor1546]

Thank u for ur very simple but very important matter. God bless.

[@bacolas]

Fantastic Video, thanks .
As a beginner it seems to be much helpfull

[@mohamedelsamra-td8ru]

THank you. PLEASE MAKE MORE VIDEOS. AMAZING

[@MikeAcousticMusic]

Thank you for everything you do, helpful and easy to understand.
~Mike

[@shahid54G]

Keep it up Dr Binder u have simplified it briefly and very nicely tanks a lot

[@소우주-y2t]

your video helped me a lot thank you

[@vaseemshikalgaar6756]

i am grateful to you sir...
gratitude and love from India ！！！

[@baseballman907]

Thank you. Explained nicely.

[@hatifrum1879]

thanks,it is truely simple approach ,God bless you .

[@drsherb1552]

Excellent video.. thank you very much

[@AngelasMixedMediaArtist]

Great demo nice to see you.

[@nbenjers1]

Very nice approach to assess Diastolic dysfunction Nelson Benjers MD FACC ,USA

[@Arham-Here1790]

Excellent leacture sir in really simple way👏

[@mohammadghani6835]

Very nice presentation. Thank you, Sir.

[@drbanwarilalnayak409]

excellent teaching

[@160845]

very clear explanation - thank you

[@MahmudulHasan-rk6ze]

Sir,lot of thanks. Plz,provide tutorials on congenital heart diseases.

[@drayush2]

Nicely explained, pl tell What's normal e/e' ratio and what's cut off for diastolic dysfunction.

[@Guesswhohowduguess]

Thank you, you legend.

[@drkumarrajeshvijay]

Awesome video.... thanks a lot doctor.

[@idrisabdulrahman2042]

Thanks prof

[@sasikala8284]

Superb demo

[@77bansal]

dr thomas, i want to ask how to asesss the prosthetic valve malfunction in echo.you have really simplified our fundamentals

[@samywassef6197]

great and clear you do a great job

[@samywassef6197]

A nice amazing lecture

[@ohtusabes]

great video! very simple!

[@gimmeblackcoffee]

Thank you for this.

[@wlsgmloh]

Love it. Thank you so much!

[@anashajumaier4131]

Merci beaucoup , c'est très intéressant ...

[@ahmedmostafa1320]

excellent , nice , very useful lecture

[@hananyousif8517]

thank u so ooo much 4 simple discussion

[@gimpfest86]

@OverdrivePacing Yes, the E/é ratio is still usefull in patients with atrial fibrillation.

[@vanellie3265]

Thank you!!!

[@77bansal]

very simple approach.please guidew how to know valve area by contuinuity eqiuation....thanking you

[@alperdogan3745]

Thanks a lot...

[@vishalkatta331]

thank you very much

[@mohammadghani6835]

Nice and THANKS.

[@TuanLe-hq1eo]

Nice, thanks

[@aryaraj7047]

Tku soomuch sir

[@elsagrace3893]

Thanks for this

[@nicolchristod]

Fantastic and simle

[@aseemjai8267]

great job

[@kayleegarcia1804]

MERCI!

[@ranatariq4405]

Good work

[@alijlaiwi210]

thank you much

[@mohamedmashkor3378]

How can we assess the E / A ratio in patients with atrial fibrillation?

[@anhnguyenphan6809]

thanks for helpful video !

[@ranalateef1870]

Thanks

[@alijlaiwi210]

thanks alot

[@tabascocat5102]

I have been told I have 'mild' DD. But have normal dimensions. Didnt have it two years ago. 60 now-what gives?

[@abdoalraimi4424]

What happens for patients between 45 and 65, do they just not exist in this simple approach

[@ganeshvshetty]

thank u

[@minkycat66]

very good

[@deanclkclk]

I did a 2 D echo doppler couple months ago. The initial report handed to me by the sonographer was diastolic dysfunction but, the final cardiologist report stated I had an normal echo. Hmmmmm.

[@ckfreeman20]

What is the best place to get your TDI, medial or lateral? I've heard medial is more accurate than lateral and I've also heard vice versa. Anyone got a answer to this?

[@infodiff]

Thanks........

[@Cathcare]

Just super

[@centromedicointegraldelcor5580]

es un exelente tutorial muy didactico pero si lo publicaran en español auemtaria el numero de seguidores de haba hispana

[@clarkr14]

Y en mandarín también. Ahí sí que definitivamente aumentaría el número de seguidores de habla-chino.

[@marciturner4570]

I have Aortic, Mitral, and Tricuspid Insufficiency, Diastolic Heart Dysfunction, and HTN; High Blood pressure. With all of these at the same time, what are these telling you? I also have Rheumatoid Arthritis.

[@ibmjadoo]

+Marci Turner that means your heart is failing upto some degree because of multiple reasons that include uncontrolled hypertension, rheumatoid arthritis affected your heart indirectly or you have coronary artery disease

[@TheFunkette]

ibmjadoo Guy

[@gimpfest86]

@ckfreeman20
Where regional dysfunciton is present it is vital to messure it in the medial and lateral basal segments and use the average. Right ventricular dysfunction will affect the medial annulus excursion, so that should be taken into account when present as well.
In normal subjects the lateral annulus more accurately reflects diastolic properties.
You should check out the ASE guidelines for assessment of diastolic function.

[@ristoangelski8041]

Rupture of coronary sinus with comunitation to RA

[@ilynpayne7491]

You should have said left ventricular filling pressure otherwise it was a great video

[@sidrainam3674]

E" is not 0.5 but is 0.05. While you said E" is o point five

[@bishalgurung590]

can we reverse grade1 diastolic dysfunction to normal again?mine ea ratio

[@henji9165]

Tamu tune i want to know to cuz i have the same condition.

[@bishalgurung590]

i asked my doctor.he told me that gradei is mild..its normal..they told me to control my blood pressure..nothing to worry

[@henji9165]

Tamu tune Thats good to know, Mine is Mild too but im still having a litle bit of pain in mu chest, what about you do you have any symptom?

[@henji9165]

Tamu tune sometimes the pain gets annoying.

[@bishalgurung590]

may be its because of anxiety??

[@centromedicointegraldelcor5580]

me gustaria el tutorial en español

[@ajitsatpati8635]

ht

[@GabrielPerez-qg2ji]

A mi me gustaría una cerveza

[@rajivasr784]

Acute recovering Myo-pericarditis ;Globally sluggish LV with Mild LV Systolic dysfunction & thinned out RV-FW & Septum.

[@codrut913]

[@kamikhan2307]

If age is greater than 50 and EF is less than 50. And the pattern looks normal. Its also pseudonormal function

[@yellobra6452]

✅

[@furkanaltinbas2914]

👍🏻👌🏻

[@anashajumaier4131]

Merci beaucoup , c'est très intéressant ...

[@zuhairalabody6623]

thanks