Diastolic exercise echocardiography assessment
Find the exercise-echo diastolic pathway, its measurement inputs and the source context provided by the interactive tool.
Method
2025 ASE Section 13 · selected exercise E/e′ method plus exercise TR velocity
Use the measurement units shown below. Some fields apply only to a selected method or condition; follow the interactive tool’s method choices. The interactive tool keeps missing measurements incomplete and provides its method-specific results and reference context.
Measurements and acquisition
Exercise E/e′ method
PW tissue Doppler at the mitral annulus
- Average E/e′
- Septal E/e′
- Place the sample at the septal or lateral mitral annulus.
- Use tissue-Doppler settings and align with annular motion.
- Measure the early diastolic e′ peak and average representative beats.
Exercise average E/e′
PW tissue Doppler at the mitral annulus
- Place the sample at the septal or lateral mitral annulus.
- Use tissue-Doppler settings and align with annular motion.
- Measure the early diastolic e′ peak and average representative beats.
Exercise septal E/e′
PW tissue Doppler at the mitral annulus
- Place the sample at the septal or lateral mitral annulus.
- Use tissue-Doppler settings and align with annular motion.
- Measure the early diastolic e′ peak and average representative beats.
Exercise TR velocity m/s
CW Doppler through the TR jet
- Search RV inflow, apical four-chamber, and subcostal windows; use the highest well-aligned signal.
- Trace the dense primary edge (‘chin’), not faint overgained noise, and reject truncated triangular envelopes when estimating pressure.
- Average three representative beats; in atrial fibrillation average 5–10 beats and exclude post-pause or post-ectopic velocities.
Sources and method context
American Society of Echocardiography · 2025 · Evaluation of Left Ventricular Diastolic Function and HFpEF Diagnosis · Section 13 · PDF pp. 18–19
- Indication and acquisition · Section 13A–B · PDF p. 18
Appropriate patient selection, exercise modalities, acquisition order, and postexercise timing.
- Normal, likely, and abnormal branches · Section 13C · PDF p. 19
E/e′ and exercise TR-velocity thresholds, including the guideline's likely-HFpEF branch.
Catalogue review status: Exact guideline locator mapped · clinical sign-off pending
These pages describe the educational tool. Interpret measurements with the complete clinical context and the method’s acquisition limitations.