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Human Body & Health

A patient with severe aortic stenosis experiences decreased cardiac output. Which mechanism explains why their systolic blood pressure may paradoxically remain near normal, despite this decreased output?

A)Increased venous return compensation
B)Reduced baroreceptor activation threshold
C)Elevated systemic vascular resistance
D)Enhanced myocardial contractility reserve

💡 Explanation

Elevated systemic vascular resistance (SVR) maintains blood pressure because it increases the afterload on the left ventricle, leading to vasoconstriction and increased resistance to blood flow; therefore, blood pressure is maintained despite decreased cardiac output, rather than venous return compensating or increased contractility being able to overcome the stenosis.

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