Table 1.
Algorithm evaluation of LVDD [9].
Normal EF (≥50%) |
1. Average E/e’ > 14 2. Septal e’ velocity < 7 cm/s or lateral e’ velocity < 10 cm/s 3. TR velocity max > 2.8 m/s 4. LAVI > 34 mL/m2 |
1st criteria fulfilled | Normal LVDD | ||
2nd criteria fulfilled | Indeterminate LVDD | ||||
3rd or 4th criteria fulfilled | Abnormal LVDD | ||||
Depressed EF (<50%) | E/A ≤ 0.8 + E ≤ 50 cm/s | Grade I LVDD | |||
E/A ≤ 0.8 + E > 50 cm/s or 0.8 < E/A < 2 |
When possible assessment of 3 criteria: 1. Average E/e’ >14 2. TR velocity >2.8 m/s 3. LAVI > 34 mL/m2 |
2 of 3 or 3 of 3 Negative | |||
When only 2 criteria are available | 2 negative | ||||
1 positive and 1 negative |
Indeterminate LVDD | ||||
1 negative | Grade II LVDD | ||||
2 of 3 or 3 of 3 Positive | |||||
E/A ≥ 2 | Grade III LVDD |
LVDD, left ventricular diastolic dysfunction; EF, ejection fraction; E, peak early diastolic velocity; e’, early diastolic mitral annular tissue velocity; TR, tricuspid regurgitation; LAVI, left atrial volume index; A, peak late diastolic velocity; cm, centimeter; s, second; m, meter; ml, milliliter.