Ventricular volumes and pressures in diastolic heart failure - USMLE Forums
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Old 07-29-2010
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Heart Ventricular volumes and pressures in diastolic heart failure

A 45 yr old male patient comes to u with exertional dyspnea and easy fatigue.he does not take any medication and admits to smoking and drinking.on examination BP-170/90mm hg, Heart rate-80/min.B/L lung crackles are heard. Which of the following will be most consistent with diastolic heart failure?

L.Ventricle volume, L.V.Ejection fraction, L.V.E.D.V
A-dilated decrease increase
B-dilated decrease normal
C-Normal decrease decrease
D-Normal decrease increase
E-Normal normal increase
F-Dilated normal normal
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  #2  
Old 07-29-2010
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Listening problem in editing

hi..how do we make tables while posting a questn??
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Old 07-29-2010
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F-dilate normal normal
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Old 07-29-2010
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Answer is C. with diastolic failure restriction of LV filling occurs. so imp finding is Concentric LVH & decreased LVEF <40%
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Old 07-29-2010
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Quote:
Originally Posted by sanket_dalwadi View Post
Answer is C. with diastolic failure restriction of LV filling occurs. so imp finding is Concentric LVH & decreased LVEF <40%
Ejection fraction n LVEDV also remains normal in diastolic dysfunction

Any one with other option?
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Old 07-31-2010
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Correct Answer correct answer

it's E-because in diastolic heart failure left ventricle cavity and L.V.E.F remain normal only change observed is in left ventricle end diastolic volume, it is increased.

in systolic failure, both L.V.E.F. and end diastolic volume change.
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Old 08-01-2010
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Quote:
Originally Posted by faith View Post
A 45 yr old male patient comes to u with exertional dyspnea and easy fatigue.he does not take any medication and admits to smoking and drinking.on examination BP-170/90mm hg, Heart rate-80/min.B/L lung crackles are heard. Which of the following will be most consistent with diastolic heart failure?

L.Ventricle volume, L.V.Ejection fraction, L.V.E.D.V
A-dilated decrease increase
B-dilated decrease normal
C-Normal decrease decrease
D-Normal decrease increase
E-Normal normal increase
F-Dilated normal normal
i checked again....dear.. u mentioned LVEDV instead of LVEDP in question...
this is from UWORLD...
n remember LVEDP increases in both diastolic n systolic failure....but LVEDV increases only in systolic failure...

here ans is E but there should be LVEDP instead....
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wimzie (08-05-2010)
  #8  
Old 08-02-2010
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Listening thanks

@khushboo- thanks for correcting me dear..
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