RCIS Practice Test 2025 – All-in-One Exam Prep

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What clinical condition is associated with increased left ventricular end-diastolic pressure (LVEDP)?

Congestive heart failure

The clinical condition associated with increased left ventricular end-diastolic pressure (LVEDP) is congestive heart failure. In this condition, the heart's ability to pump blood effectively is compromised, leading to a backlog of blood in the heart and lungs. As a result, the left ventricle is unable to accommodate the returning volume of blood during diastole, causing pressure to rise in the ventricular chamber.

In congestive heart failure, as the heart struggles to maintain adequate cardiac output, the elevated pressures in the left ventricle reflect the increased volume and pressure retention. This can lead to symptoms such as shortness of breath, fatigue, and fluid retention due to congestion in the pulmonary circulation.

Other conditions listed may contribute to cardiac issues, but they do not specifically correlate with increased LVEDP in the same direct manner as congestive heart failure. For example, coronary artery disease affects blood flow to the heart muscle and may lead to ischemic issues, but it doesn't inherently involve elevated diastolic pressures like congestive heart failure does. Cardiac arrhythmias can disrupt the heart's rhythm, potentially affecting cardiac output, but the relationship with LVEDP is not as straightforward. Myocardial infarction impacts blood delivery and can lead

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Coronary artery disease

Cardiac arrhythmias

Myocardial infarction

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