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Diastolic dysfunction (DD) in transthoracic echocardiography (TTE), which is apoorly understood entity due to its limited treatment, is frequently encountered in daily clinical practice of cardiology. An electrocardiographic (ECG) index to predict echocardiographic DD has not been elucidated yet. We aim to exhibit an electrocardiographic diastolic index (EDI) to predict TTE DD with high sensitivity and specificity. In this retrospective investigation, we tested the DD predictive value of EDI [aVLR amplitude × (V1S amplitude + V5R amplit