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Anaesthesia Anaesthesia of special situations cba921da

Which of the following statement about the pathophysiology of mitral stenosis is accurate

A
Patients with mitral stenosis have decreased left atrial pressure.
B
Patients with mitral stenosis generally have an under-loaded left ventricle.
C
The increased pressure gradient between the left atrium and left ventricles results in left ventricular hyperophy.
D
Diastolic filling of the left ventricle is increased in mitral stenosis because of the increased pressure gradient between the left atrium and left ventricle.
High-Yield Explanation
The pathophysiology of mitral stenosis involves impaired diastolic filling of the left ventricle because of an obstruction at the level of the mitral valve. This results in a pressure gradient between the left atrium and the left ventricle. Consequently, left atrial pressure rises while the left ventricle is under-filled. As left atrial pressure increases, pulmonary venous return is impaired and pulmonary hypeension with right ventricular failure can occur.

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