q.6__________? - sarim

[ArchivalUser]

At autopsy the heart of a 72 y/o male shows marked right ventricular and right atrial dilation and hypertrophy. The aorta shows minimal atherosclerosis and the pulmonary trunk shows moderate atherosclerosis. Which of the following conditions is most likely to have given rise to these findings?

A-ventricular septal defect
B-saddle pulmonary thromboembolism
C-rheumatic heart disease
D-Chronic obstructive pulmonary disease
E-Hypertrophic cardiomyopathy

[ArchivalUser]

D?

[ArchivalUser]

DD

[ArchivalUser]

DD?
Thanks for the Q

VSD Will show LVH
Pulm thromboembolism will be very sudden to cause these changes.

[ArchivalUser]

can u explain please

[ArchivalUser]

DD
The lungs adapt to COPD by undergoing hypoxic vasoconstriction, which eventually results in Pulmonary Hypertension. This will lead to Hypertrophy and Dilation of the Right Ventricle and Right atrium, i.e. Cor Pulmonale.

Thanks for the Q.