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heart failure with preserved ejection fraction has complex physiology but one thing we know is that increased left ventricular diastolic stiffness plays a key role unfortunately a load independent non-invasive direct measure of diastolic stiffness is still lacking now in the European Heart Journal researchers tackle this problem and have come up with a diastolic wall strain index that is based on the linear elastic theory sounds complicated but just think about it and itamp;#39;s not really the linear elastic theory predicts that impaired diastolic wall thinning reflects resistance to deformation in diacetyl II which is the equivalent of increased diastolic myocardial stiffness the researchers did a community-based study to determine the distribution of this novel index in patients with preserved ejection fraction heart failure and healthy controls they wanted to find out whether the index was useful and most importantly whether increased diastolic stiffness as assessed by diastolic w
