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Heart failure with preserved ejection fraction — RCPSC IM MCQ

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HardCardiologyHeart failure with preserved ejection fractionRCPSC IM

A 69-year-old woman has progressive exertional dyspnoea, orthopnoea, atrial fibrillation, hypertension, and obesity. NT-proBNP is elevated, LVEF is 58 percent, E/e prime is high, left atrium is enlarged, and chest radiograph shows mild pulmonary congestion. Coronary symptoms are absent. What is the most appropriate investigation?

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Correct answer: A — Transthoracic echocardiography focused on diastolic function and filling pressures

Suspected HFpEF requires echocardiographic assessment of diastolic function, filling pressures, atrial size, pulmonary pressures, and structural heart disease.

Reference: CCS heart failure guidance