FIG. 3.

Evaluation of diastolic function in patients with end-stage liver disease (A simplified algorithm, revised from the 2016 ASE guideline. [Adapted from Oh JK et al.⁽³³⁾ Submitted to JACC Imaging]). *In this algorithm, only medial annulus velocity is recommended. After applying the modified criteria, filling pressure is first assessed, then diastolic function is graded based on E/A ratio. **For values of PV, IVRT, and strain assessment in patients with indeterminate diastolic function, refer to Fig. 4. Advanced diastolic dysfunction (grade 2 or 3) in patients with ESLD in the absence of known heart disease is diagnostic of cirrhotic cardiomyopathy. Abbreviations: LA, left atrium; PV, pulmonary vein; IVRT, isovolumetric relaxation time.