Question

Roberto is a 78-year-old male who has recently been diagnosed with Class III Congestive Heart Failure (CHF). His physician told him that his left ventricle has become stiff and cannot relax. Although there is no current treatment that can “fix” Roberto’s condition, he is prescribed two medications- an ACE inhibitor and beta blockers.

Which of these statements is most likely true of Roberto’s current symptoms?
       He doesn’t experience any symptoms at all at rest or during exercise.
       He has no symptoms at all during rest, but experiences palpitations, fatigues, and shortness of breath during mild exercise.
       He experiences fatigue, shortness of breath, and palpitations at rest and is not able to participate in any physical activity.

Answer 1

ANSWER: He has no symptoms at all during rest, but experiences palpitations, fatigues, and shortness of breath during mild exercise.

RATIONALE: This condition in the question described about the diastolic failure the heart. Which means they can't able to relax the heart, because the muscles of the heart became stiff so that cannot able to perform diastolic action properly.

If they were in rest, they mostly will not have any problems. But even mild exercise leads the symptoms given in the answer.

This stage leads to the complete heart failure (fourth stage) and need heart transplantation.