Haemodynamic Disorders · NEET PG Preparation Pathology

A 55-year-old male with a history of deep vein thrombosis presents with sudden onset shortness of breath and pleuritic chest pain. A saddle embolus i…

Practice question from Haemodynamic Disorders (NEET PG Preparation Pathology), with the correct answer and a step-by-step solution.

medium · MCQ · Q-E1FF99

A 55-year-old male with a history of deep vein thrombosis presents with sudden onset shortness of breath and pleuritic chest pain. A saddle embolus is found at autopsy. Which of the following is the most common and classic hemodynamic consequence of a massive pulmonary embolism?

  1. A.Left ventricular hypertrophy
  2. B.Acute cor pulmonaleCorrect answer
  3. C.Systemic hypotension due to left ventricular failure
  4. D.Decreased central venous pressure

Solution

A massive pulmonary embolism suddenly blocks a large cross-sectional area of the pulmonary arterial bed, causing a sharp rise in pulmonary vascular resistance. This leads to acute pressure overload and dilation of the right ventricle, a condition known as acute cor pulmonale.

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