LV Diastolic Dysfunction Assessment (ASE/EACVI 2016)
2016 ASE/EACVI algorithm for patients with normal LVEF: four variables (mitral annular e', average E/e', left atrial volume index, peak TR velocity) classify diastolic function as normal, indeterminate or dysfunctional. Grading and filling-pressure estimation need mitral E velocity and E/A ratio.
Score interpretation
Fewer than half of the available criteria are abnormal (ASE/EACVI 2016, normal LVEF).
→ If symptomatic with preserved EF, consider other causes of breathlessness; a diastolic stress test can help if HFpEF is still suspected.
Exactly half of the available criteria are abnormal — diastolic function cannot be classified.
→ Use additional parameters (e.g. Valsalva, pulmonary vein flow, LA strain) or a diastolic stress test; clinical context essential.
More than half of the available criteria are abnormal (ASE/EACVI 2016, normal LVEF). The grade and LV filling pressure need mitral E velocity and E/A ratio (Algorithm B), which this calculator does not collect.
→ Grade with the full ASE/EACVI algorithm; treat underlying hypertension, AF and other drivers; consider natriuretic peptides and cardiology review if HFpEF is suspected.
Interpretation bands for the Diastolic Dysfunction. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
- Dobutamine (Acute HF / Stress Echo) · Inotrope / Acute Heart Failure
- Empagliflozin (Elderly HFpEF/HFrEF) · SGLT2 Inhibitor
- Sildenafil · PDE5 Inhibitor — Pulmonary Arterial Hypertension
- Sildenafil (CTD-Associated PAH / Raynaud's) · Phosphodiesterase-5 (PDE5) Inhibitor
- Desmopressin (Surgical — Haemostasis/Platelet Dysfunction) · Vasopressin Analogue V2 (Antidiuretic/Haemostatic)
- Vardenafil · PDE5 Inhibitor — Erectile Dysfunction
- Acute Heart Failure · ESC 2021 Heart Failure Guidelines; NICE NG106
- NSTEMI / Unstable Angina · ESC 2020 NSTEMI Guidelines; NICE NG185
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.