Systemic (Left-Sided) Hypertensive Heart Disease
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Questions and Answers

What is the consequence of the increased demands placed on the heart by hypertension?

  • Necrotizing arteriolitis
  • Berry aneurysm rupture
  • Ventricular hypertrophy (correct)
  • Intracerebral hemorrhage

What is a typical characteristic of hyperplastic arteriolosclerosis seen in severe hypertension?

  • Thickened, reduplicated basement membrane
  • Onion skin appearance of vessels (correct)
  • Vascular wall necrosis
  • Fibrinoid deposits in arterioles

What can be attributed to inadequate management of hypertension according to the data provided?

  • Hyperplastic arteriolosclerosis
  • Subarachnoid hemorrhage
  • Pathological changes in nephrons
  • 62% of cerebrovascular disease and 49% of ischaemic heart disease (correct)

What vascular disorder is associated with hypertension and involves the rupture of berry aneurysms?

<p>Subarachnoid hemorrhage (D)</p> Signup and view all the answers

What is the consequence of persistent hypertension that can culminate in CHF and even sudden death?

<p>Cardiac dilation (A)</p> Signup and view all the answers

In hypertensive heart disease, what adaptive response occurs to pressure overload?

<p>Remodeling with added sarcomeres in parallel (A)</p> Signup and view all the answers

What is the pathophysiological cause of Renal disease, which is the commonest cause of secondary hypertension?

<p>Increased activity of the renin-angiotensin system (A)</p> Signup and view all the answers

Which condition is associated with homogeneous, pink hyaline thickening of arteriolar walls and luminal narrowing?

<p>Hyaline arteriolosclerosis (A)</p> Signup and view all the answers

What structural change is observed in muscular arteries in response to hypertension?

<p>Smooth muscle hyperplasia (B)</p> Signup and view all the answers

What is the consequence of arteriolar narrowing caused by hyaline arteriosclerosis in the kidneys?

<p>Glomerular scarring (A)</p> Signup and view all the answers

Which lesion occurs selectively in response to hypertension and involves collagen deposition and smooth muscle hyperplasia?

<p>Hyaline arteriolosclerosis (A)</p> Signup and view all the answers

What effect does hypertension have on atherosclerosis development in large arterial blood vessels?

<p>Accelerates its development (A)</p> Signup and view all the answers

What is the main cause of left atrial dilation in systemic hypertensive heart disease?

<p>Stiffening of the left ventricle (A)</p> Signup and view all the answers

What is the typical heart weight in an individual with systemic hypertensive heart disease?

<p>Above 500 g (D)</p> Signup and view all the answers

What is the normal range for left ventricular wall thickness in an individual without left ventricular hypertrophy?

<p>1.2 to 1.4 cm (B)</p> Signup and view all the answers

Which condition is characterized by marked dilation and hypertrophy of the right ventricle with thickened free wall?

<p>Chronic cor pulmonale (B)</p> Signup and view all the answers

What effect does increased left ventricular wall thickness have on diastolic filling in hypertensive heart disease?

<p>Impairs diastolic filling (D)</p> Signup and view all the answers

In long-standing systemic hypertensive heart disease, what happens to the hypertrophic left ventricle?

<p>It typically becomes dilated (D)</p> Signup and view all the answers

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