Question

A 70-year-old man presents with progressive exertional dyspnoea and ankle oedema. Examination reveals bilateral basal crackles and a displaced apex beat. ECG shows left bundle branch block. Which investigation is most important to confirm the diagnosis and guide management?

Accepted Answer

Transthoracic echocardiogram

Answer

Chest X-ray

Answer

BNP level

Answer

Coronary angiography

Answer

Exercise stress test

Practice question

A 70-year-old man presents with progressive exertional dyspnoea and ankle oedema. Examination reveals bilateral basal crackles and a displaced apex beat. ECG shows left bundle branch block. Which investigation is most important to confirm the diagnosis and guide management?