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Vol. 41. Núm. 3.Abril 2017
Páginas 133-200
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Vol. 41. Núm. 3.Abril 2017
Páginas 133-200
Letter to the Editor
DOI: 10.1016/j.medin.2016.12.008
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Diastolic dysfunction in the critically ill patient. Response from the authors
Disfunción diastólica en el paciente crítico. Respuesta de los autores
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J. Carlos Suárez, P. López, J. Mancebo, L. Zapata
Autor para correspondencia
LZapata@santpau.cat

Corresponding author.
Servicio de Medicina Intensiva, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain
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Dear Editor,
Texto Completo

We thank P. Blanco1 for their comments on our manuscript published in your journal2 and would like to clarify the points raised.

First, it is important to take into account the new recommendations for the evaluation of left ventricular diastolic function by Echocardiography recently published.3 This new recommendations are based not only in transmitral flow patterns and Tissue Doppler, but besides in 2-D echocardiography and continuous Doppler of tricuspid regurgitation jet. The purpose of the new recommendations is to be more specific to avoid confounding circumstances.

Secondly, although the recommendations do not include lung ultrasound in the assessment of diastolic dysfunction, we express our total agreement with the integration of lung ultrasound and echocardiography to evaluate de critically ill patients, as P. Blanco refers in his letter to the editor. This is just another example that allows us to remark the need for the intensive care specialist to receive a proper training in ultrasound.

References
[1]
Blanco P. Lung ultrasound and echocardiogram: a useful duet. Carta al editor. Med Intensiva. 2017. Disponible en: http://dx.doi.org/10.1016/j.medin.2016.11.008 0210-5691/
[2]
J.C. Suárez,P. López,J. Mancebo,L. Zapata
Diastolic dysfunction in the critically ill patient
Med Intensiva, 40 (2016), pp. 499-510 http://dx.doi.org/10.1016/j.medin.2016.06.006
[3]
S.F. Nagueh,O.A. Smiseth,C.P. Appleton,B.F. Byrd,H. Dokainish,T. Edvardsen
Recommendations for the Evaluation of Left Ventricular Diastolic Function by Echocardiography: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging
J Am Soc Echocardiogr, 29 (2016), pp. 277-314 http://dx.doi.org/10.1016/j.echo.2016.01.011
Copyright © 2017. Elsevier España, S.L.U. y SEMICYUC
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