Diastolic Assessment: Application of the New ASE Guidelines

  • Abhinav Sharma
  • Allan L. Klein
Echocardiography (F Asch and S Costa, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Echocardiography


Purpose of Review

The purpose of this review is to summarize the new guidelines from the American Society of Echocardiography (ASE) and the European Association of Cardiovascular Imaging (EACVI) for the diagnosis and grading of diastolic dysfunction (DD), with commentary on the rationale behind the use of the recommended individual parameters.

Recent Findings

Previous guidelines for assessment of diastolic function have been criticized for being too complex with modest diagnostic performance and inter-observer variability.


The new ASE/EACVI diastology guidelines aim to simplify the diagnosis and gradation of DD by using a limited set of echocardiographic variables. The robustness of these recommendations has been subsequently validated in several trials. Understanding the physiological principles that govern changes in echocardiographic parameters during normal and abnormal diastolic function is critical for the appropriate application of these recommendations.


Echocardiography Diastolic dysfunction 2016 ASE/EACVI recommendations Left ventricular filling pressure 


Compliance with Ethical Standards

Conflict of Interest

All authors declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance

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© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Section of Cardiovascular Imaging, Center for the Diagnosis and Treatment of Pericardial DiseasesHeart and Vascular Institute, Cleveland ClinicClevelandUSA

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