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Chronic heart failure — PARA MCQ

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ModerateGeneral Medicine - CardiologyChronic heart failurePARA

A 55-year-old woman has 6 months of exertional breathlessness, orthopnoea and ankle swelling. BNP is raised and chest X-ray shows cardiomegaly with pulmonary venous congestion. What is the most appropriate investigation?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: DTransthoracic echocardiography

Raised BNP and features of heart failure should be followed by echocardiography to assess structure and ejection fraction.

Reference: NICE NG106: Chronic heart failure