title: Diastolic dysfunction, diagnostic and perioperative management in cardiac surgery.
abstract: OBJECTIVE
  The review focuses on recent findings on the role of diastolic dysfunction in the perioperative period and on recent advances in the diagnosis and perioperative management of diastolic function.
  
  
  RESULTS
  Left ventricular diastolic dysfunction is an underestimated disease with a high risk for acute decompensation in the perioperative period. It has been associated with adverse outcomes in patients undergoing cardiac or noncardiac procedures. Recent advancements in the diagnosis of diastolic function have limited intraoperative applicability. Due to the lack of disease-specific therapies, perioperative management is preventive and symptomatic.
  
  
  CONCLUSIONS
  Appropriate perioperative patient care requires that the perioperative physician be alerted to the presence of diastolic dysfunction, be knowledgeable of the diastolic dysfunction grading system and understand the pathophysiologic changes associated with various grades of diastolic function.
authors.affiliation: Division of Cardiothoracic Anesthesiology and Critical Care Medicine, Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina, USA.
authors.forename: Alina
authors.initials: A
authors.lastname: Nicoara
authors.forename: Madhav
authors.initials: M
authors.lastname: Swaminathan
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods*; D054144:Heart Failure, Diastolic / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis / Q000628:therapy; D019990:Perioperative Care / Q000379:methods*; D011183:Postoperative Complications / Q000175:diagnosis / Q000628:therapy