Echocardiography III Exam 1 Practice

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One of the secondary 2D findings consistent with Calcific Aortic Stenosis is which of the following?
Correct Answer:
LVH
Explanation:
Calcific aortic stenosis creates chronic pressure overload on the left ventricle. The heart adapts by developing concentric LV hypertrophy, thickening the walls to generate the higher systolic pressure needed to pump across the narrowed valve. On 2D echocardiography this appears as increased LV wall thickness and LV mass, often with a preserved ejection fraction in the earlier stages. Left atrial enlargement can occur if diastolic pressures rise over time, but it is not the classic secondary finding. Therefore LVH is the most characteristic secondary 2D finding in calcific aortic stenosis.

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