Diastolic Dysfunction Reclassification Following Implementation of the 2025 Echocardiographic Guidelines
- 1University of South Alabama, Mobile, Alabama, USA
Abstract
Background: Echocardiographic grading of diastolic dysfunction influences diagnosis, risk assessment, and longitudinal management in cardiovascular disease.
Project Rationale: Updated 2025 diastolic dysfunction criteria emphasize integrated assessment of transmitral inflow, tissue Doppler indices, left atrial volume, tricuspid regurgitation velocity, and filling pressure estimates. Their implementation may alter classifications assigned using older criteria.
Project Summary: We performed a retrospective quality improvement analysis of 99 echocardiograms obtained from Syngo, a cardiovascular imaging and structured reporting platform, including 33 patients each with previous grade I, II, and III diastolic dysfunction. Each study was reassessed using the 2025 criteria and compared with the original grade. Forty-eight patients (48.5%) remained unchanged, whereas 51 (51.5%) were reclassified. Among reclassified patients, 19 (37.3%) were reclassified to a higher severity grade and 32 (62.7%) to a lower severity grade.
Take-Home Messages: Applying contemporary criteria changed diastolic dysfunction grading in more than half of cases, most often toward lower severity.
Related
- Effects of Laparoscopic Sleeve Gastrectomy on Vascular and Myocardial Recovery: Type 2 Diabetes and Echocardiographic Indices of Diastolic Function
- Feasibility and diagnostic utility of echocardiographic distal abdominal aortic diastolic flow reversal for assessing aortic regurgitation.
- Association Between Left Atrial Enlargement and Atrial Fibrillation in Elderly Patients with Left Ventricular Diastolic Dysfunction
- Evaluation of Diastolic Dysfunction in Pituitary Adenomas: A Comparative Single-Center Study Among Acromegaly, Prolactinoma, and Nonfunctioning Pituitary Adenomas
- Diastolic Dysfunction Predicts Cardiorespiratory Fitness and Clinical Outcomes in Hypertrophic Cardiomyopathy
BibTeX
@article{khalid2026diastolic,
title = {{Diastolic Dysfunction Reclassification Following Implementation of the 2025 Echocardiographic Guidelines}},
author = {Aariez Khalid and Szymon Matejuk and Pavel Hurtado Cabrera and Nagaraj Sanchitha Honganur and Bassam Omar},
journal = {JACC Case Reports},
year = {2026},
month = sep,
doi = {10.1016/j.jaccas.2026.109570},
url = {https://doi.org/10.1016/j.jaccas.2026.109570},
note = {CC BY-NC-ND 4.0},
}
RIS
TY - JOUR
TI - Diastolic Dysfunction Reclassification Following Implementation of the 2025 Echocardiographic Guidelines
AU - Aariez Khalid
AU - Szymon Matejuk
AU - Pavel Hurtado Cabrera
AU - Nagaraj Sanchitha Honganur
AU - Bassam Omar
PY - 2026
DA - 2026/09/16
JO - JACC Case Reports
DO - 10.1016/j.jaccas.2026.109570
UR - https://doi.org/10.1016/j.jaccas.2026.109570
AB - Background: Echocardiographic grading of diastolic dysfunction influences diagnosis, risk assessment, and longitudinal management in cardiovascular disease. Project Rationale: Updated 2025 diastolic dysfunction criteria emphasize integrated assessment of transmitral inflow, tissue Doppler indices, left atrial volume, tricuspid regurgitation velocity, and filling pressure estimates. Their implementation may alter classifications assigned using older criteria. Project Summary: We performed a retrospective quality improvement analysis of 99 echocardiograms obtained from Syngo, a cardiovascular imaging and structured reporting platform, including 33 patients each with previous grade I, II, and III diastolic dysfunction. Each study was reassessed using the 2025 criteria and compared with the original grade. Forty-eight patients (48.5%) remained unchanged, whereas 51 (51.5%) were reclassified. Among reclassified patients, 19 (37.3%) were reclassified to a higher severity grade and 32 (62.7%) to a lower severity grade. Take-Home Messages: Applying contemporary criteria changed diastolic dysfunction grading in more than half of cases, most often toward lower severity.
SN - 2666-0849
ER -