Diastolic assessment after heart transplant: sinus rhythm
Review the heart-transplant diastolic pathway for sinus rhythm and the measurement context supplied with the tool.
Method
2025 ASE Figure 5 · average E/e′; intermediate values use E/SRIVR or 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
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.
E/SRIVR
Enter the measured value in the displayed unit
- Available
- Unavailable
- Confirm the variable matches the selected formula.
- Use the unit displayed beside the field.
- Keep measurements from the same representative hemodynamic state.
Mitral E / SRIVR cm
Enter the measured value in the displayed unit
- Confirm the variable matches the selected formula.
- Use the unit displayed beside the field.
- Keep measurements from the same representative hemodynamic state.
TR peak 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 · Table 7 p. 20 · Figure 5 p. 23
- Transplant pathway · Figure 5 · PDF p. 23
Average E/e′ outer branches and E/SRIVR or TR-velocity resolution of intermediate values.
- Transplant limitations · Section 15B · PDF pp. 22–23
Sinus-rhythm scope and the limitation of diastolic indices for graft-rejection diagnosis.
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.