Background Diastolic dysfunction is traditionally believed to be the first subclinical manifestation of diabetic cardiomyopathy (DCM), leading systolic and then overt heart failure. However, in last few years, several studies suggested that measured by speckle-tracking echocardiography (STE) may appear ahead diastolic dysfunction. In this review, main endpoint show whether myocardial appears im...

Objective: To determine the concordance of different Doppler echocardiographic criteria for ‘‘diastolic dysfunction’’ in patients with suspected heart failure but preserved left ventricular systolic function. Design: Prospective, descriptive study. Setting: Outpatient based direct access echocardiography service. Patients: Consecutive patients referred with suspected heart failure but preserved...

Diastolic heart failure is increasing in prevalence. Although the pathophysiology is incompletely understood and current therapeutic strategies are limited, identification of diastolic dysfunction is important. We review the role of contemporary techniques with echocardiography and cardiac magnetic resonance imaging (CMRI) in the assessment of diastolic dysfunction. Cardiac catheterization is t...

AIM To detect echocardiographic abnormalities in persons without cardiovascular risk factors and BP of 120/80 mm Hg or less. METHOD Detailed echocardiographic evaluation was done in 65 persons fulfilling above mentioned criteria. RESULTS Nearly 50% persons had cardiac remodeling and/or diastolic dysfunction. Pulmonary vein flow systolic velocity/diastolic velocity had significant negative c...

The phenomenon of “diastolic heart failure” is rightly receiving greater attention (1–4); community-based studies such as those in Framingham (5) and Olmsted County (6) show that up to 50% of older persons with heart failure do not have impaired left ventricular (LV) systolic function to account for this, and that the condition is usually associated with LV hypertrophy and is preceded by elevat...

Our aim was to analyze any changes during diastole in patients with normal left ventricular ejection fraction (LVEF), after pacemaker stimulation from the right ventricular outflow tract (RVOT) and right ventricular apex (RVA) lead position. This was a prospective, randomized, follow up study, which lasted for 12 months. Our research included 132 consecutive patients who were implanted with a p...

BACKGROUND Measurement of intracardiac kinetic energy (KE) provides new insights into cardiac hemodynamics and may improve assessment and understanding of heart failure. We therefore aimed to investigate left ventricular (LV) KE time curves in patients with heart failure and in controls. METHODS Patients with heart failure (n = 29, NYHA class I-IV) and controls (n = 12) underwent cardiovascul...

The diagnosis of diastolic heart failure suggested by Vasan and Levy1 and Grossman,2 as definite, probable, or possible, presently hinges on the demonstration of diastolic left ventricular (LV) dysfunction at cardiac catheterization or echocardiography. It is likely that a far simpler measure, which is based on an analysis of the arterial pulse measured noninvasively, can be used. The studies o...

Metabolic syndrome (MetS), which is a cluster of medical disorders, is common and it is associated with increased cardiovascular morbidity and mortality. The aim of this study was to evaluate the relationship between characteristics of metabolic syndrome and the grade of diastolic dysfunction. The study included 72 patients (29 male and 43 female), who had central obesity and at least two of th...