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An increased mitral E-point to septal separation may indicate left ventricular:

A. Decrease in compliance
B. Decrease in ejection fraction
C. Hyperdynamic wall motion
D. Increase in end-diastolic pressure

1 Answer

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Final answer:

An increased mitral E-point to septal separation typically indicates decreased ventricular compliance. This is characterized by increased stiffness of the ventricle, which can lead to increased end-diastolic pressure as the ventricle becomes less able to accommodate blood during filling.

Step-by-step explanation:

An increased mitral E-point to septal separation may indicate a decrease in ventricular compliance. In the context of cardiology, ventricular compliance is a measure that reflects how easily the heart chambers expand during ventricular filling. A decreased compliance usually means that there is increased stiffness of the ventricle, making it more difficult for the ventricle to fill with blood during diastole. When ventricular compliance is decreased, it can lead to an increase in end-diastolic pressure because the stiffer ventricle cannot accommodate the incoming volume of blood during filling without an increase in pressure.

Diseases such as hypertrophic cardiomyopathy can lead to a decrease in ventricular compliance. This condition can contribute to conditions like pulmonary edema, where excessive leakage of water occurs in the lung tissues due to increased hydrostatic pressure within the pulmonary capillaries, as the left ventricle struggles to pump blood efficiently into the systemic circulation. Whereas, stroke volume and contraction strength, related to systolic function, aren't directly indicated by mitral E-point to septal separation.

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