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Diseases of the circulatory system
문제
The patient's heart demonstrates ______ dysfunction, where the ventricle cannot relax properly during diastole.
1
diastolic
✓ 정답
2
systolic
3
cardiac
4
myocardial
5
ventricular
해설
Diastolic dysfunction refers to the heart's inability to properly relax and fill with blood during the diastolic phase. This condition leads to impaired ventricular filling despite normal contractile function, often resulting in heart failure with preserved ejection fraction.
같은 주제 다음 문제 The patient's EKG shows significant ST ______ in leads V2 through V4, suggesting acute ant…
임상 시나리오 • Diastolic dysfunction: Impaired relaxation of heart muscle during filling phase
• Key characteristics:
- Stiff/rigid ventricle walls
- Decreased compliance
- Elevated filling pressures
- Normal ejection fraction
• Common causes:
- Hypertension
- Aging
- Left ventricular hypertrophy
- Diabetes
- Coronary artery disease
• Clinical manifestations:
- Dyspnea
- Exercise intolerance
- Pulmonary congestion
- Peripheral edema
• Diagnostic methods:
- Echocardiography
- Doppler imaging
- E/A ratio assessment
- Tissue Doppler
- B-type natriuretic peptide levels
• Treatment approaches:
- Blood pressure control
- Rate control
- Diuretics
- ACE inhibitors
- Beta blockers
핵심 개념
diastolic — Relating to the phase of the heartbeat when the heart muscle relaxes and allows the chambers to fill with blood
systolic — Relating to the phase of the heartbeat when the heart muscle contracts and pumps blood out of the heart
cardiac — Relating to the heart or heart-related conditions in general
myocardial — Relating to the muscular tissue of the heart
ventricular — Relating to the ventricles, which are the lower chambers of the heart
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