7th March 2024

A 64-year-old man comes for assessment of shortness of breath and peripheral oedema.

A 64-year-old man comes for assessment of shortness of breath and peripheral oedema. He has been treated for heart failure in the community with bisoprolol 5mg BD, Ramipril 5mg OD and spironolactone 25mg OD. He had a transthoracic echocardiogram, which showed severe aortic regurgitation, a dilated left ventricle, and severe LV systolic function with an ejection fraction of 30%. He is referred to the cardiac surgeons for an aortic valve replacement. What further investigation should he have prior to his surgery?

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