Key result
Recent international guidelines endorse multiparametric assessment, left atrial strain, and stress testing for diastolic dysfunction.
Contemporary echocardiography guidelines demonstrate a growing consensus on utilizing individualized, multiparametric strategies including left atrial strain and diastolic stress testing to evaluate diastolic dysfunction.
Multiparametric assessment of diastolic function has been the focus of several recent guideline documents and expert consensus statements. The newly released 2025 American Society of Echocardiography (ASE) guidelines present an updated framework for both diagnosing diastolic dysfunction and estimating left ventricular filling pressures (LVFP). This review highlights key elements of the ASE update and places them in the context of other contemporary documents, including the 2024 British Society of Echocardiography (BSE) guidelines and the 2022 European Association of Cardiovascular Imaging (EACVI) consensus statement on multimodality imaging in heart failure with preserved ejection fraction (HFpEF). While the specific algorithms and thresholds vary, all three documents endorse a multiparametric approach, underscore the diagnostic value of left atrial strain, and recognize the importance of diastolic stress testing in selected patients. Together, these guidelines reflect a growing consensus on the need for individualized, data-driven strategies to improve diagnostic accuracy in the evaluation of diastolic dysfunction.
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Grapsa et al. (2025) conducted a review in Diastolic dysfunction. 2025 ASE, 2024 BSE, and 2022 EACVI guidelines was evaluated. The 2025 ASE, 2024 BSE, and 2022 EACVI guidelines endorse a multiparametric approach, left atrial strain, and diastolic stress testing for evaluating diastolic dysfunction.
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