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LAP estimation in atrial fibrillation

Atria and diastolic function
Flowchart: LAP estimation in atrial fibrillation. A text version follows the figure.
ASE 2025 · LV diastolic function and HFpEFOpen full size ↗Download PNG
Related:Quick reference 5: Diastolic function and filling pressures
Text of this figure
  • LAP estimation in atrial fibrillation
  • 1. Mitral E velocity ≥100 cm/s
  • 2. Septal E/e′ ratio >11
  • 3. TR velocity >2.8 m/s or PASP >35 mm Hg
  • 4. DT ≤160 ms
  • None or 1 of above
  • 2 of above
  • 3 or more of above
  • LARS <18%
  • Pulm vein S/D ratio <1
  • BMI >30 kg/m²
  • None
  • 1 only or not available
  • or not reliable
  • 2/3 or 3/3
  • Normal LAP
  • Indeterminate
  • Elevated LAP
  • Source: Recommendations for the Evaluation of Left Ventricular Diastolic Function by Echocardiography and for Heart Failure With Preserved Ejection Fraction Diagnosis: An
  • Update From the American Society of Echocardiography (2025), Figure 8.
  • Please read the full document from the ASE.

Redrawn as a flowchart from the published document named in the figure. Read the full document for context and the figures' complete notes.