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To compare the agreement of the 2016 ASE/EACVI guidelines for grading diastolic dysfunction (DD) with the most commonly used intraoperative transesophageal echocardiography (TEE)-based diastolic function grading algorithm in cardiac surgical patients, and to describe the contribution of the echocardiographic variables used in the algorithms to any observed differences. Retrospective data analysis. University tertiary medical center. Hundred and one patients undergoing coronary artery bypass grafting (CABG) at a single institution from