[Pulsed Doppler echocardiography in the assessment of diastolic function of the left ventricular myocardium in ischemic heart disease].

Pulsed Doppler echocardiography was used to analyse diastolic transmitral blood flow in 2 groups of patients with coronary heart disease, each including 30 persons. The groups differed in the presence or absence of large postinfarct cardiosclerosis. Diastolic dysfunctions of the left ventricular myocardium were marked by the lower maximum rapid filling rate, increased maximum atrial/rapid filling rate ratios, decreased mean slowing in rapid filling rate, and elevated left ventricular end-diastolic pressure. More profound impairments in diastolic blood flow were recorded in patients with postinfarct cardiosclerosis-complicated coronary heart disease. Pulsed Doppler echocardiography is shown to be useful in the assessment of diastolic function of the left ventricular myocardium in coronary heart disease.