A 45-year-old man presents with new-onset exertional dyspnoea and ankle oedema. He has a loud, late-peaking ejection systolic murmur at the right uppe...

Question

A 45-year-old man presents with new-onset exertional dyspnoea and ankle oedema. He has a loud, late-peaking ejection systolic murmur at the right upper sternal border with a soft second heart sound. Blood pressure is 110/70 mm Hg. What is the most appropriate next investigation?

Accepted Answer

Transthoracic echocardiography

Answer

Exercise treadmill test without imaging

Answer

Coronary CT angiography

Answer

No further investigation, observe clinically

Answer

BNP level only

ca-mccqe1 MCQ (SBA): Severe aortic stenosis

A 45-year-old man presents with new-onset exertional dyspnoea and ankle oedema. He has a loud, late-peaking ejection systolic murmur at the right upper sternal border with a soft second heart sound. Blood pressure is 110/70 mm Hg. What is the most appropriate next investigation?