From the following clients, who are at high risk for developing heart failure as a result of diastolic dysfunction? Select all that apply
A) A 48-year-old client with uncontrolled hypertension
B) A marathon runner with history of chronic bradycardia whose pulse rate is 46
C) A 57-year-old client with history of ischemic heart disease
D) A 70-year-old with enlarged left ventricle due to myocardial hypertrophy
Ans: A, D
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Conditions that reduce the heart's ability to adequately fill during diastole, such as myocardial hypertrophy and tachycardia, can lead to heart failure. Hypertension remains the leading cause of diastolic dysfunction. Ischemic heart disease is associated with systolic heart failure, or impaired contractile performance. It is normal for athletes, like marathon runners, to have slow pulses.
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