Diastolic Dysfunction Grading - Echocardiography

Grade 0  (Normal):

 • E/A >0.8, e’ > 8 cm/s, E/e’ < 8

Grade 1 (Impaired Relaxation):

 • E/A <0.8, e’ < 8 cm/s, E/e’ < 8

 • Impaired Relaxation & Decreased LV Compliance

 • Mild Decrease in LV Muscle Relaxation Speed

Grade 2 (Pseudonormal):

 • E/A >0.8, e’ < 8 cm/s, E/e’ 8 - 15

 • Increase in LAP causing more “Push” from LA during Early Filling

 • Moderate Decrease in LV Muscle Relaxation Speed

Grade 3 (Restrictive):

 • E/A >2, e’ << 8 cm/s, E/e’ > 15

 • Severe increase in LAP causing more “Push” from LA during Early Filling. Also LA enlargement

 • Severe Decrease in LV Muscle Relaxation Speed



- POCUS 101 @Pocus101



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