KROK 1 2017 – Question 57 · KROK (Medicine) · Pathophysiology

A woman, who has been suffering from marked hypertension for 15 years, has lately developed dyspnea, palpitations, slightly decreased systolic pressure, while diastolic pressure remains the same. What is the main mechanism of heart failure development in this case?

  1. A. Dysregulation of cardiac function
  2. B. Damage to the myocardium
  3. C. Disorder of impulse conduction in the myocardium
  4. D. Cardiac overload due to increased vascular resistance
  5. E. Cardiac overload due to increased blood volume
Hint

Ask what long-standing high arterial pressure does to the work the left ventricle must do on each beat before it eventually fails.

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