TY - JOUR T1 - Diastolic dysfunction in the critically ill patient JO - Medicina Intensiva (English Edition) T2 - AU - Suárez,J.C. AU - López,P. AU - Mancebo,J. AU - Zapata,L. SN - 21735727 M3 - 10.1016/j.medine.2016.06.002 DO - 10.1016/j.medine.2016.06.002 UR - https://medintensiva.org/en-diastolic-dysfunction-in-critically-ill-articulo-S2173572716300509 AB - Left ventricular diastolic dysfunction is a common finding in critically ill patients. It is characterized by a progressive deterioration of the relaxation and the compliance of the left ventricle. Two-dimensional and Doppler echocardiography is a cornerstone in its diagnosis.Acute pulmonary edema associated with hypertensive crisis is the most frequent presentation of diastolic dysfunction critically ill patients. Myocardial ischemia, sepsis and weaning failure from mechanical ventilation also may be associated with diastolic dysfunction.The treatment is based on the reduction of pulmonary congestion and left ventricular filling pressures. Some studies have found a prognostic role of diastolic dysfunction in some diseases such as sepsis.The present review aims to analyze thoroughly the echocardiographic diagnosis and the most frequent scenarios in critically ill patients in whom diastolic dysfunction plays a key role. ER -