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Editorial Serial Changes in Diastolic Function Lessons From the Growing Field of Echo-Epidemiology Timothy Fitzgibbons, MD, PhD; Gerard Aurigemma, MD ormal left ventricular function consists of 2 interrelated We think that there are 2 principal justifications for this Nprocesses. Systole comprises a coordinated interplay time and trouble. First, the assessment of filling pressures between fiber shortening, wall thickening, longitudinal short- can guide clinical decision-making. The second is under- ening, and cardiac twist, which results in the generation of scored by the findings of Kuznetsova et al in the current issue of Circulation: Cardiovascular Imaging. Diastolic function stroke volume. During diastole, which comprises relaxation and untwist, as well as contraction of the atrium, the normal grading, along with other echocardiography data about struc- ture and function, can be adapted for use in large epidemi- ventricle relaxes and fills to an adequate end-diastolic volume 7–12 at low pressure—thus optimizing stroke volume in the next ological survey. We are learning from these studies how diastolic function evolves over time and how these changes systole. are related to the development of heart failure. The noninvasive assessment of systolic and diastolic func- tion is a major undertaking of cardiologists, and in 2015, this One
Circulation: Cardiovascular Imaging – Wolters Kluwer Health
Published: Apr 1, 2015
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