Myocardium is rigid and noncompliant, impeding ventricular filling and raising pressures during diastole is which form of cardiomyopathy?
Septal
Restrictive
Infiltrative
Hypertrophic
The Correct Answer is B
A. Septal: Septal cardiomyopathy typically refers to abnormalities in the interventricular septum and does not specifically address the rigidity and noncompliance of the myocardium that affects diastolic filling.
B. Restrictive: Restrictive cardiomyopathy is characterized by a rigid and noncompliant myocardium that impedes ventricular filling during diastole. This results in elevated pressures in the ventricles and may lead to heart failure symptoms due to poor filling capacity.
C. Infiltrative: Infiltrative cardiomyopathy involves the deposition of abnormal substances (such as amyloid or sarcoid) within the myocardial tissue, which can lead to stiffness. While this may contribute to restrictive physiology, "restrictive" is the more precise term for the condition described.
D. Hypertrophic: Hypertrophic cardiomyopathy is characterized by an abnormal thickening of the heart muscle, particularly the left ventricle. While this condition can affect diastolic filling, it is primarily due to muscle hypertrophy rather than rigidity and noncompliance of the myocardium.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Myocardial ischemia: Myocardial ischemia contributes to ventricular remodeling by causing damage to the heart muscle, leading to changes in the size, shape, and function of the ventricles. The process involves cellular and molecular alterations in response to ischemic injury, ultimately resulting in adverse remodeling that can exacerbate heart failure.
B. Right ventricular failure: Right ventricular failure may occur as a consequence of other cardiac conditions but is not a direct contributor to ventricular remodeling. Instead, it is often a result of left-sided heart failure or pulmonary hypertension, making it secondary to the primary pathologic changes.
C. Left ventricular hypertrophy: Left ventricular hypertrophy can occur as a response to chronic pressure overload (such as hypertension) but is a result of ventricular remodeling rather than a direct contributor to the remodeling process itself. It may indicate underlying issues rather than cause them.
D. Contractile dysfunction: Contractile dysfunction reflects impaired heart muscle contraction but does not directly cause ventricular remodeling. While it can be a consequence of remodeling due to conditions like ischemia or heart failure, it does not initiate the remodeling process itself.
Correct Answer is D
Explanation
A. Shortness of breath and need for oxygen supplementation: These symptoms are more indicative of respiratory or cardiac conditions rather than Peripheral Artery Disease (PAD). While patients with PAD may experience discomfort during exertion, shortness of breath is not a primary symptom associated with PAD.
B. Tachycardia and hypotension: Tachycardia and hypotension are generally signs of acute distress, shock, or severe cardiovascular issues. These symptoms do not specifically indicate PAD, which is characterized by issues related to blood flow in the peripheral arteries.
C. Decreased alertness and slurred speech: These symptoms suggest possible neurological issues, such as a stroke or transient ischemic attack, rather than PAD. PAD primarily affects blood flow to the extremities and does not typically present with neurological symptoms.
D. Diminished pulses and pain with walking or exercise: Diminished pulses in the legs and claudication, or pain with walking or exercise, are classic symptoms of Peripheral Artery Disease. These symptoms occur due to reduced blood flow to the muscles in the legs, particularly during physical activity, and are indicative of arterial blockages.
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