KROK 1 2016 – Question 180 · KROK (Medicine) · Pathophysiology

An athlete (long-distance runner) during a contest developed a case of acute cardiac insufficiency. This pathology resulted from:

  1. A. Cardiac pressure overload
  2. B. Direct damage to myocardium
  3. C. Cardiac volume overload
  4. D. Pericardium pathology
  5. E. Disrupted coronary circulation
Hint

Consider how very prolonged maximal exercise changes venous return and filling of the ventricles, and whether the strain comes from excess inflow or from resistance to ejection.

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