A 63-Year-Old Man Comes to the Office Due to Exertional

A 63-year-old man comes to the office due to exertional dyspnea that has been progressively worsening over the last 3 weeks.  He sleeps in a recliner with his head elevated because he gets short of breath when lying flat in bed.  Medical history includes gout, dyslipidemia, and hypertension.  Blood pressure is 154/89 mm Hg and pulse is 85/min.  Physical examination shows distended jugular veins in the semi-recumbent position.  An apical heave is present on cardiac examination.  There is pitting edema in the bilateral lower extremities.  Levels of which of the following substances will be higher in the pulmonary vein compared to the pulmonary artery in this patient?

A) Aldosterone
B) Angiotensin I
C) Angiotensin II
D) Angiotensinase
E) Angiotensinogen
F) Arginine vasopressin
G) Prostaglandin E1
H) Renin

Correct Answer:

Verified

Unlock this answer now
Get Access to more Verified Answers free of charge

Access For Free