NURS 6501: MIDTERM EXAM:
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Which of the following findings is an example of cardiac remodeling that occurs in response to chronic heart failure?
Group of answer choices
- Temporary increase in heart rate
- Progressive ventricular dilation and myocardial hypertrophy
- Reversible reduction in ejection fraction
- Transient hypertrophy of the right ventricle
- Ventricular dilation happens because the heart enlarges in an attempt to increase its pumping capacity.
- Myocardial hypertrophy refers to the thickening of the heart muscle as the heart works harder to pump blood against increased resistance.
- Temporary increase in heart rate: This is a compensatory mechanism seen early in heart failure but is not part of the structural remodeling process.
- Reversible reduction in ejection fraction: Ejection fraction may decrease in heart failure, but the reduction is typically not "reversible" without significant intervention, and it does not represent remodeling itself.
- Transient hypertrophy of the right ventricle: While right ventricular hypertrophy can occur in certain conditions like cor pulmonale (due to pulmonary hypertension), it is not the typical remodeling pattern seen in chronic heart failure, especially left-sided heart failure.
