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World J Anesthesiol. Mar 27, 2014; 3(1): 96-104
Published online Mar 27, 2014. doi: 10.5313/wja.v3.i1.96
Published online Mar 27, 2014. doi: 10.5313/wja.v3.i1.96
Practical diastology
André Y Denault, Pierre Couture, Department of Anesthesia, Montreal Heart Institute and Université de Montréal, Montréal, Québec H1T 1C8, Canada
André Y Denault, Division of Critical Care Medicine, Montreal Heart Institute, Montréal, Québec H1T 1C8, Canada & Division of Critical Care, Centre Hospitalier de l’Université de Montréal, Montréal, Québec H2W 1T8, Canada
Author contributions: Both authors contributed to the manuscript preparation.
Correspondence to: Dr. André Y Denault, MD, PhD, FRCPC FASE ABIM-CCM, Department of Anesthesia, Montreal Heart Institute and Université de Montréal, 5000 Belanger Street East, Montréal, Québec H1T 1C8, Canada. andre.denault@gmail.com
Telephone: +1-514-3763330 Fax: +1-514-3768784
Received: July 25, 2013
Revised: August 29, 2013
Accepted: September 3, 2013
Published online: March 27, 2014
Revised: August 29, 2013
Accepted: September 3, 2013
Published online: March 27, 2014
Core Tip
Core tip: Diastology is mainly thought as the evaluation of left ventricular (LV) diastolic function. However evaluation of right ventricular (RV) diastolic function might be as relevant. Furthermore pressure waveform analysis are influence by filling pressure and therefore might represent another method to continuously assess both LV and RV diastolic function. This is true particularly for RV pressure waveform analysis which correlate with RV diastolic function. Finally as the end-point of diastology is to provide information on cardiac function and filling pressure, the use of near-infrared spectroscopy and lung ultrasound might be the simplest way to evaluate the impact of diastolic dysfunction.