In the second algorithm regarding patients with reduced EF or with normal EF but with myocardial disease, is there no way that this patient has a normal diastolic function? As in the best scenario in this algorithm, the patient has a normal LAP but with grade I diastolic dysfunction (No mention for normal diastolic function).
How does one make a diagnosis of HFpEF? Eg a pt with exertional dyspnea, bilateral leg swelling with an echo showing EF 55%, E/A 2.1, E/e' 24, TR PG 50mmHG , LAVI 40. The patient has no hx of lung disease, CKD etc. According to this guideline the patient would be classified in grade 3 DD' with high filling pressures. But what about HFpEF?
Regarding to HFpEF diagnosis, try to look the ESC algorithm of HFA-PEFF2. They use biomaker component ( BNP/NT-pro BNP ) and echocardiographic component ( Functional and morphological values ) to make the diagnosis of HFpEF. Stress echo/invasive hemosynamic parameters are used when the HFA-PEFF2 score of non-invasive is less than 5.
best diastology lecture I've seen, thank you
thank you very much very helpful and clear to understand webinar.
In the second algorithm regarding patients with reduced EF or with normal EF but with myocardial disease, is there no way that this patient has a normal diastolic function?
As in the best scenario in this algorithm, the patient has a normal LAP but with grade I diastolic dysfunction (No mention for normal diastolic function).
How does one make a diagnosis of HFpEF? Eg a pt with exertional dyspnea, bilateral leg swelling with an echo showing EF 55%, E/A 2.1, E/e' 24, TR PG 50mmHG , LAVI 40. The patient has no hx of lung disease, CKD etc. According to this guideline the patient would be classified in grade 3 DD' with high filling pressures. But what about HFpEF?
Regarding to HFpEF diagnosis, try to look the ESC algorithm of HFA-PEFF2. They use biomaker component ( BNP/NT-pro BNP ) and echocardiographic component ( Functional and morphological values ) to make the diagnosis of HFpEF. Stress echo/invasive hemosynamic parameters are used when the HFA-PEFF2 score of non-invasive is less than 5.
this presentation was very usefull, thank you so much
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