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.
  
There are multiple types of CHF. Which of these types does Roberto have?
       Systolic heart failure
       Diastolic heart failure
       Right-sided heart failure
       None of these choices is correct.

Answer 1

diastolic heart failure

Explanation: Roberto has diastolic heart failure that means his heart is unable to dilate or relax and has become stiff. This results in accumulation of the blood in the veins giving the congestion. as the left ventricle is stiff so it is left sided congestive diastolic heart failure. The contractility of the heart is good but due to low diastolic ability, the end diastolic volume is decreased that in turn decreases the cardia output.