Ventricular Diastolic Function, 2nd edition (Original PDF from Publisher)

Comprehensive Guide to Diastolic Function Assessment: A Deeper Understanding

Cardiac Structure and the Dynamics of Diastology

This comprehensive volume delves into the intricate workings of the heart, specifically focusing on the crucial phase of diastole. Within its 351 pages, the text elucidates the structural foundations of the heart, providing a detailed overview of its anatomy and function. Over 2,000 meticulously crafted illustrations and images further illuminate these concepts.

Phases and Physiology of the Cardiac Cycle

The book meticulously dissects the intricate symphony of the cardiac cycle, examining the interplay between the heart’s chambers and valves. Particular emphasis is placed on the role of ventricular filling during diastole, including the intricate interplay between atrial contraction and ventricular relaxation.

Hemodynamics and Mechanics in Diastolic Function

Beyond the intrinsic properties of the heart, the text explores the critical role played by hemodynamics and mechanics in diastolic function. The authors delve into the complex interplay between blood flow dynamics, cardiac mechanics, and their profound impact on ventricular relaxation and filling.

Echo Physics and Techniques for Diastolic Evaluation

The book offers an in-depth exploration of the indispensable role of echocardiography in the assessment of diastolic function. From basic principles to cutting-edge techniques, the authors provide a comprehensive overview of how ultrasound technology enables cardiologists to visualize and quantify ventricular relaxation and filling.

Echo-Correlates of Ventricular Diastolic Function

The text meticulously elucidates the various echo-correlates employed to assess ventricular diastolic function. From the American Society of Echocardiography (ASE) guidelines to the European Association of Cardiovascular Imaging’s (EACVI) criteria, readers gain a thorough understanding of the parameters used to evaluate diastolic function, including mitral inflow velocities, tissue Doppler imaging, and strain analysis.

Left Atrial Function and Echo Assessment

The book delves into the crucial role of the left atrium in ventricular filling and its implications for diastolic function. The authors examine the phasic function of the left atrium and discuss the various echo-correlates utilized to quantify its contributions to diastolic performance.

Echo-Correlates of Right Heart and Pulmonary Artery Pressures

Extending beyond the left heart, the text highlights the significance of the right heart and pulmonary artery pressures in diastolic function. Through a comprehensive review of echo-correlates, readers gain insights into the evaluation of right heart function and its impact on ventricular filling.

Pathophysiology and Dysfunction of Diastole

Moving beyond normal physiology, the authors explore the pathological mechanisms underlying diastolic dysfunction. They examine the various conditions that can impair ventricular relaxation and filling, including ischemia, hypertrophy, and fibrosis.

Diagnosis and Assessment of Diastolic Dysfunction

With a focus on clinical application, the book provides detailed criteria for the diagnosis of left ventricular diastolic dysfunction in the presence of normal ejection fraction. The authors also present an algorithm for estimating left ventricular filling pressures when faced with depressed ejection fraction and myocardial disease.

Grades of Diastolic Dysfunction

Recognizing the spectrum of diastolic dysfunction, the text describes the various grades of severity and their clinical significance. Through a comprehensive evaluation of these grades, readers develop a nuanced understanding of the different stages of diastolic impairment.

Echocardiographic Perspectives in Heart Failure

The book culminates by examining the diverse echocardiographic findings associated with heart failure with preserved and reduced left ventricular ejection fraction (HFpEF and HFrEF). The authors highlight the unique challenges and considerations in assessing diastolic function in these complex clinical entities.