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. 2024 Jan;52(1):95-102.
doi: 10.1002/jcu.23610. Epub 2023 Nov 14.

The value of a dynamic echocardiographic approach to diastolic dysfunction in intensive care medicine

Emanuele Catena  1 , Alessandra Volontè  2 , Chiara Rizzuto  1 , Paola Bergomi  1 , Matteo Gambarini  1 , Tommaso Fossali  1 , Davide Ottolina  1 , Andrea Perotti  1 , Alice Veronese  1 , Riccardo Colombo  1
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The value of a dynamic echocardiographic approach to diastolic dysfunction in intensive care medicine

Emanuele Catena et al. J Clin Ultrasound. 2024 Jan.

Abstract

Diastolic dysfunction is an underestimated feature in the context of the critically ill setting and perioperative medicine. Advances in echocardiography, its noninvasive, safe and easy use, have allowed Doppler echocardiography to become a cornerstone for diagnosing diastolic dysfunction in clinical practice. The diagnosis of diastolic dysfunction and increased filling pressures is nevertheless complex. Using an echocardiographic assessment and the routine application of preload stress maneuvers during echocardiographic examination can help identify early stages of diastolic dysfunction leading to better management of patients at risk of acute heart decompensation in the perioperative period or during ICU stay.

Keywords: diastolic dysfunction; echocardiography; heart failure; intensive care; perioperative care.

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References

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