A 64-year-old woman with systemic sclerosis has progressive exertional dyspnoea. Spirometry is near normal, DLCO is 38% predicted, CT chest shows no

Question

A 64-year-old woman with systemic sclerosis has progressive exertional dyspnoea. Spirometry is near normal, DLCO is 38% predicted, CT chest shows no interstitial lung disease and echocardiography estimates pulmonary artery systolic pressure at 62 mmHg. What is the most appropriate investigation?

Accepted Answer

Right heart catheterisation

Answer

Peak flow diary

Answer

Exercise ECG

Answer

Serum D-dimer

Answer

Bronchoscopy with lavage

Pulmonary arterial hypertension — RACP Written MCQ

A 64-year-old woman with systemic sclerosis has progressive exertional dyspnoea. Spirometry is near normal, DLCO is 38% predicted, CT chest shows no interstitial lung disease and echocardiography estimates pulmonary artery systolic pressure at 62 mmHg. What is the most appropriate investigation?