Question

A 72-year-old man presents with progressive exertional dyspnoea and presyncope. Examination reveals a slow-rising pulse and a harsh ejection systolic murmur radiating to the carotids. ECG shows left ventricular hypertrophy. What is the most appropriate next investigation?

Accepted Answer

Echocardiography

Answer

Exercise treadmill test

Answer

Chest X-ray alone

Answer

Coronary CT angiography

Answer

BNP measurement only

Practice question

A 72-year-old man presents with progressive exertional dyspnoea and presyncope. Examination reveals a slow-rising pulse and a harsh ejection systolic murmur radiating to the carotids. ECG shows left ventricular hypertrophy. What is the most appropriate next investigation?