Table 3

 Practical classification of diastolic function

Diastology when ejection fraction is (near) normal (>45–50%)
1. Normal diastolic function.
2. Mild diastolic dysfunction with normal resting filling pressures (impaired relaxation)
3. Moderate diastolic dysfunction with elevated filling pressures (pseudonormal filling)
4. Severe diastolic dysfunction with notably elevated filling pressures (restrictive filling—reversible or non-reversible)
5. Indeterminate diastolic function (paced rhythm, atrial fibrillation, mitral valve disease)
Diastology when ejection fraction is reduced (<45%)
1. Diastolic dysfunction with normal filling pressures (impaired relaxation pattern)
2. Diastolic dysfunction with elevated filling pressures (pseudonormal filling pattern)
3. Diastolic dysfunction with severely elevated filling pressures (restrictive filling—reversible or non-reversible)
4. Diastolic dysfunction with indeterminate filling pressures