Final answer:
An increase in transmural pressure makes it harder for the left ventricle (LV) to contract effectively and pump blood, contributing to afterload.
Step-by-step explanation:
Afterload refers to the tension that the ventricles must develop to pump blood effectively against the resistance in the vascular system. An increase in transmural pressure makes it harder for the left ventricle (LV) to contract effectively and pump blood, contributing to afterload. Therefore, option A) The LV is contracting inward to eject blood, and an increase in transmural pressure makes it harder for the LV to contract effectively, is the correct answer.