New Blog Post! Step By Step #POCUS Guide, PDF Pocket Card, & Calculator.
👉🔗pocus101.com/diastology
#medtweetorial👇(1/18)
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Download the summary Pocket Card PDF:
👉🔗pocus101.com/diastology
![](https://pbs.twimg.com/media/EXvZxUOVAAACIF8.png)
Here are some Pulse Wave Doppler tips:
1. Place the sample gate at mitral valve tips
2. Bring the baseline down
3. Set Scale to about 120cm/s
👉🔗pocus101.com/diastology
![](https://pbs.twimg.com/media/EXvZ2sYUMAAeRrQ.png)
👉🔗pocus101.com/diastology
![](https://pbs.twimg.com/media/EXvZ74eXQAAPZMY.jpg)
Here are some Tissue Doppler tips:
1. Place sample gate at septal (or lateral) annulus
2. Bring the baseline up
3. Set scale to about -15cm/s
👉🔗pocus101.com/diastology
![](https://pbs.twimg.com/media/EXvaBZFVAAAPs74.png)
• E wave: majority of blood flow resulting from Passive PULL of left ventricle relaxation (large E wave)
• A wave: Atrial kick with small amount of Blood Flow (small A wave)
• E/A >= 0.8
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![](https://pbs.twimg.com/media/EXvaHTwVcAAvUqJ.jpg)
•Normal LV muscle relaxation
•e’ >= 8cm/s (septal annulus)
👉🔗pocus101.com/diastology
![](https://pbs.twimg.com/media/EXvaMWHXkAM4qH1.jpg)
•Mitral Inflow: E/A >= 0.8
•Tissue Doppler: e’ >= 8cm/s
•E/e’ < 8
👉🔗pocus101.com/diastology
![](https://pbs.twimg.com/media/EXvaRYlUEAAtu3Z.png)
• E wave: Decreased “PULL” from LV due to impaired relaxation (small E wave)
• E/A < 0.8 (only Grade 1 has this mitral inflow pattern)
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![](https://pbs.twimg.com/media/EXvaX4cXQAE3ORk.jpg)
•Impaired left ventricular muscle relaxation
•e’ < 8cm/s
👉🔗pocus101.com/diastology
![](https://pbs.twimg.com/media/EXvafeHX0AETRXG.jpg)
•Mitral Inflow: E/A < 0.8 (Most Important Factor)
•Tissue Doppler: e’ < 8cm/s
•E/e’ < 8
👉🔗pocus101.com/diastology
![](https://pbs.twimg.com/media/EXva3ftUYAA3Wlq.png)
• E wave: Increased “PUSH” from left atrium due to increased Left Atrial Pressure (large E wave)
• E/A >= 0.8 ("Pseudonormal" since it looks like Grade 0)
👉🔗pocus101.com/diastology
![](https://pbs.twimg.com/media/EXvbF3sX0AMnMKe.jpg)
You will need to use tissue doppler to differentiate between Grade 0 and Grade 2 since the E/A ratio will be similar
•Moderately Reduced LV muscle relaxation
•e’ < 8cm/s
👉🔗pocus101.com/diastology
![](https://pbs.twimg.com/media/EXvbKekWAAE5lXa.jpg)
•Mitral Inflow: E/A >= 8
•Tissue Doppler: e’ < 8cm/s
•E/e’: 8-15
👉🔗pocus101.com/diastology
![](https://pbs.twimg.com/media/EXvbSr3WoAQu0ZJ.png)
•E wave: Significant Increased “PUSH” from left atrial due to Severely increased Left Atrial Pressure (large E wave)
•A wave: small A wave
•E/A > 2
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![](https://pbs.twimg.com/media/EXvbXh7UEAEDHjp.jpg)
•Severely reduced LV muscle relaxation
•e’ << 8cm/s
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![](https://pbs.twimg.com/media/EXvbc1QXQAEhV9U.jpg)
•Mitral Inflow: E/A >= 2 (very high E wave)
•Left Atrial Enlargement
•Tissue Doppler: e’ << 8cm/s
•E/e’ > 15
👉🔗pocus101.com/diastology
![](https://pbs.twimg.com/media/EXvbh4xUYAAEAKJ.png)
• Preload evaluation prior to IVFs
• Diuresis Management of CHF patients
• Diagnosing ARDS (should have normal diastolic function)
👉🔗pocus101.com/diastology
![](https://pbs.twimg.com/media/EXvbnLoWoAAb8MO.png)