Cardiac Cycle and Hemodynamics · USMLE Step 1

Which of the following best reflects the relationship between end-diastolic volume (EDV) and myocardial fiber stretch regarding preload?

  1. Higher EDV leads to decreased myocardial fiber stretch
  2. Preload is unrelated to EDV
  3. Higher EDV leads to increased myocardial fiber stretch
  4. Preload refers to post-systolic myocardial tension
Show answer and explanation

Correct answer: Higher EDV leads to increased myocardial fiber stretch

Preload is proportional to EDV because a larger EDV stretches myocardial fibers more at end-diastole, increasing sarcomere length and preload.

Difficulty: Medium Question 12 of 21

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