The diastolic function assessment should be a component of a comprehensive perioperative echocardiographic examination. About 50% cases suggest that diastolic dysfunction can cause the adverse perioperative outcomes. Anesthetic drugs may complicate the conditions through their effects on myocardial relaxation and compliance as assessed by Doppler measures.

Importance Of Perioperative Assessment Of Diastolic Function: As evident from the data that the 50% patients with congestive heart failure exhibit normal systolic function while the same percentage undergoing cardiac or noncardiac procedures demonstrated diastolic function abnormalities. The diastolic dysfunction is highly predictive of adverse events after myocardial infarction. Moreover, the presence of perioperative diastolic dysfunction, diagnosed with TEE, had a significant association with postoperative CHF and postoperative…