SDN Members don't see this ad. (About Ads) I'm a fourth year medical student, and I have to give a learning talk at rounds about the differences between sytolic vs. diastolic vs. combined disorder, and how to diagnose what the patient has. From my research, I have a good understanding about the pathophysiology... However, I still don't understand how to make a diagnosis based on an 2D echo (they never just say systolic vs. diastolic on the report), and whatever other signs and symptoms they have. Other than EF what other objective findings can help distinguish between the two, and how do you tell if the patient has both systolic AND diastolic failure (aka, combined). Can anyone help direct me to some resources to help me out. Thanks.