Contribution of Intraventricular Dispersion of Early Diastolic Filling in Determining the Diastolic Dysfunction

It is rather difficult to diagnose left ventricular diastolic dysfunction in such cases as atrial fibrillation, or pseudonormalized or restrictive patterns of mitral flow. In our study, we aimed to investigate the value of intraventricular alteration of early diastolic flow velocity in determining the diastolic function, particularly in this type of patients. To that end, a total of 20 patients with hypertensive heart disease (HHD), 30 cases with ischemic cardiomyopathy (ICMP) and a control group, 33 cases with normal left ventricular function were included in the study. Intraventricular regional flow velocity patterns were obtained from Doppler echocardiography by placing guide point at distances of O, ı, 2, 3 cm away from mitral valve towards the apex. The regional E velocity in HHD and ICMP was seen to decrease more progressively with respect to that in the control group (pKeywords: diastolic function, E flow velocity, ischemic cardiomyopathy