Diastolic Dysfunction or Aging?

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TEEintraoppreopMEBCV2D
Short case presentation
79 yo female with a history of CAD, hypothyroidism, HTN.
 She has symptoms of CAD and SOB.
Cardiac Cath showed: LMCA 80%, LAD 90%, Cx 90%, RCA 70%. The LVEF was Normal.
Her current medications are Carvedilol, HCTZ, and Levothyroxine.
Her prior operation was a vein stripping.

After reviewing the TEE exam please consider the following questions:

What diastolic measures are independent of loading (LAP) conditions?
Is her LAP high, normal, or low?
What are the age related changes of LVI (E,A,DT,IVRT), PVn, TDE, and CMMVp?
What are the changes with Diastolic Dysfunction?
Does this patient have aging or diastolic dysfunction changes of her TEE exam?
Does she have Diastolic Dysfunction or is the diastology consistent with Aging?