A patient suffering from essential arterial hypertension got hypertensic crisis that caused an attack of cardiac asthma. What is the leading mechanism of cardiac insufficiency in this case?

Answer options

1. Myocardium damage
2. Cardiac overload due to increased blood volume
3. Cardiac overload due to increased resistance
4. Absolute coronary insufficiency
5. Disturbed blood inflow to the heart

Explanation

Increased blood pressure and hypertensive crisis lead to an increase in workload on the heart, increasing the normal pressure the heart is meant to pump against. This increase in workload can lead to cardiac insufficiency as a result of the excessively increased blood pressure.