1st April 2022

A 65-year-old man, who had a STEMI one year ago, presents to his GP

A 65-year-old man, who had a STEMI one year ago, presents to his GP complaining of progressively worsening shortness of breath over the past three months. He describes being unable to carry out his regular walk due to the breathlessness. On examination, he has bilateral pitting oedema below his knees. 

Given the most likely diagnosis, which of the following is the most useful next step?

Select the SINGLE most appropriate option from the list below. Select ONE option only.