Cardiac Medicine Certification (CMC) Practice Exam

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Which of the following is NOT a common cause of heart failure?

  1. Myocardial infarction

  2. Persistent tachycardia

  3. Excessive exercise

  4. Valvular insufficiency

The correct answer is: Excessive exercise

Excessive exercise is generally not recognized as a common cause of heart failure. While overtraining can lead to certain heart conditions and arrhythmias in athletes, it typically does not result in heart failure in the same way that other factors do. In fact, regular moderate exercise is generally beneficial for heart health and can help in the prevention of heart failure. Myocardial infarction, persistent tachycardia, and valvular insufficiency are all well-established contributors to the development of heart failure. Myocardial infarction can damage heart muscle, impairing its ability to pump effectively. Persistent tachycardia can increase the workload of the heart, leading to systolic dysfunction over time. Valvular insufficiency can disrupt the normal flow of blood through the heart, leading to volume overload and subsequent heart failure. Understanding the distinction between physio-pathological impacts of various conditions on heart function helps clarify why excessive exercise does not fall into the same category as these other, more common causes.