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Old 06-08-2011
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Heart Cardiac pathophysiology question

Match each question with the single best answer (A - E).

1.- Impaired diastolic filling of ventricles; jugular venous pressure with rapid "y descent"; left ventricular diastolic pressure tracing with "dip and plateau" configuration
2.- Decreased diastolic aortic pressure; increased left ventricular end-diastolic pressure; volume overload of the left ventricle; bounding peripheral pulses
3.- Impaired diastolic filling of ventricles; cyclical decrease in systolic blood pressure during inspiration; elevated jugular venous pressure without Kussmaul’s sign
4.- Impaired diastolic filling of the left ventricle; loud first heart sound (S1); increased pulmonary venous pressure with occasional "reactive" pulmonary hypertension
5.- Impaired diastolic filling of the ventricles; fibrosis, scarring, or infiltration of the myocardium; normal pericardial tissue



A) Constrictive Pericarditis
B) Restrictive Cardiomyopathy
C) Aortic Regurgitation
D) Cardiac Tamponade
E) Mitral Stenosis
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5-b
3-d
4-e
1-a
2-c
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lol, i had to work from the valves and then backwards...hope im close to correct.

1. a
2. c
3. d
4. e
5. b
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does anyone know the difference between constrictive and restrictive cardiomyopathy??
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1- A (Dip and Pleateau is characteristic of Constrictive pathology)
2- C (Boundling peripheral pulse --> increased pulse pressure due to the diastolic regurgitation that leads to acute decrease in diastolic arterial pressure + Increased LVEDP and LVEDV are both because of the diastolic regurgitation through the Aortic valve = Aortic regurgitation scenario
3- D (Kussle's sign is one of the signs of Tamponade)
4- E (Reactive pulmonary hypertension with Loud S1 are characters of Mitral stenosis)
5- B (Myocardila scarring, fibrosis or infiltration are some of the causes of restrictive myopathy)
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Quote:
Originally Posted by earthpole View Post
does anyone know the difference between constrictive and restrictive cardiomyopathy??
restrictive pathology means simple that the muscle is restricted in contracting (e.g. fibrosed muscle)

Conststrictive pathology simple means that the muscle is restricted in relaxing because of the presence of a hard wall that is preventing it from doing so (e.g. hard preicardium hendering the heart from relaxing completely) and hence the characteristic pericardial knock
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Quote:
Originally Posted by alaahoda2001 View Post
restrictive pathology means simple that the muscle is restricted in contracting (e.g. fibrosed muscle)

Conststrictive pathology simple means that the muscle is restricted in relaxing because of the presence of a hard wall that is preventing it from doing so (e.g. hard preicardium hendering the heart from relaxing completely) and hence the characteristic pericardial knock
Good question!

I found this very cool paper...if you wanna know a little bit more

Cardiac tamponade, constrictive pericarditis, and restrictive cardiomyopathy
Current Problems in Cardiology, Volume 29, Issue 9, September 2004, Pages 503-567
Attached Files
File Type: pdf Cardiomyopathy.pdf (1.19 MB)
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Quote:
Originally Posted by bebix View Post
Match each question with the single best answer (A - E).

1.- Impaired diastolic filling of ventricles; jugular venous pressure with rapid "y descent"; left ventricular diastolic pressure tracing with "dip and plateau" configuration
2.- Decreased diastolic aortic pressure; increased left ventricular end-diastolic pressure; volume overload of the left ventricle; bounding peripheral pulses
3.- Impaired diastolic filling of ventricles; cyclical decrease in systolic blood pressure during inspiration; elevated jugular venous pressure without Kussmaulís sign
4.- Impaired diastolic filling of the left ventricle; loud first heart sound (S1); increased pulmonary venous pressure with occasional "reactive" pulmonary hypertension
5.- Impaired diastolic filling of the ventricles; fibrosis, scarring, or infiltration of the myocardium; normal pericardial tissue



A) Constrictive Pericarditis
B) Restrictive Cardiomyopathy
C) Aortic Regurgitation
D) Cardiac Tamponade
E) Mitral Stenosis
1.constrictive pericarditis
2.Aortic reguritation
3.cardiac temponade
4.mitral stenosis
5.restrictive cardiomyopathy
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1. D
2. C
3. A
4. E
5. B
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Question

1- Cardiac Tamponade

2- Aortic Regurgitstion

3- Constrictive pericarditis

4- Mitral stenosis

5-Restrictive Cardiomyopathy
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Correct Answer correct answer

1.- Impaired diastolic filling of ventricles; jugular venous pressure with rapid "y descent"; left ventricular diastolic pressure tracing with "dip and plateau" configuration = A) Constrictive Pericarditis

2.- Decreased diastolic aortic pressure; increased left ventricular end-diastolic pressure; volume overload of the left ventricle; bounding peripheral pulses = C) Aortic Regurgitation

3.- Impaired diastolic filling of ventricles; cyclical decrease in systolic blood pressure during inspiration; elevated jugular venous pressure without Kussmaulís sign = D) Cardiac Tamponade

4.- Impaired diastolic filling of the left ventricle; loud first heart sound (S1); increased pulmonary venous pressure with occasional "reactive" pulmonary hypertension = E) Mitral Stenosis

5.- Impaired diastolic filling of the ventricles; fibrosis, scarring, or infiltration of the myocardium; normal pericardial tissue = B) Restrictive Cardiomyopathy
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[QUOTE=bebix;45022]1.- Impaired diastolic filling of ventricles; jugular venous pressure with rapid "y descent"; left ventricular diastolic pressure tracing with "dip and plateau" configuration = A) Constrictive Pericarditis

2]

3.- Impaired diastolic filling of ventricles; cyclical decrease in systolic blood pressure during inspiration; elevated jugular venous pressure without Kussmaulís sign = D) Cardiac Tamponade

]
isnt Kussmaul sign present in cardiac tamponade?? here in 3 , it says increased JVD without kussmaul sign...
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[QUOTE=drnirajmavani;45066]
Quote:
Originally Posted by bebix View Post
1.- Impaired diastolic filling of ventricles; jugular venous pressure with rapid "y descent"; left ventricular diastolic pressure tracing with "dip and plateau" configuration = A) Constrictive Pericarditis

2]

3.- Impaired diastolic filling of ventricles; cyclical decrease in systolic blood pressure during inspiration; elevated jugular venous pressure without Kussmaulís sign = D) Cardiac Tamponade

]
isnt Kussmaul sign present in cardiac tamponade?? here in 3 , it says increased JVD without kussmaul sign...
Kussmaulīs sign = Constrictive pericarditis or Restrictive cardiomyopathy

In healthy individuals, breathing in (inspiring) increases venous return to the right heart. Any evident neck vein distension, therefore, should diminish during inspiration.

In patients with conditions that impair venous return to the right heart inspiration may be associated with an absence of jugular vein collapse or a paradoxical rise in the jugular column. This is called Kussmaul's sign.

Cardiac conditions that may be associated with a positive Kussmaul's sign include right atrial myxoma, tricuspid stenosis, constrictive pericarditis, pericardial effusion, restrictive myocardopathy, and severe pulmonary hypertension. Overall, the commonest cause is severe right-sided congestive heart failure.
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Wink Kussmaul's sign

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God bless you guys. you guys are awesome. this was very confusing subject to me. you have presented your informations in a very nice way that made me realize things I used to only memorize. I appreciate the good work.:sorry:
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IT IS GETTING INTENSE !!
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1. A
2. C
3. D
4. E
5. B

Last edited by acr2503; 08-05-2012 at 07:16 PM.
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