A 42-year-old Afro-Caribbean man comes to the clinic complaining of reduced energy, sleepiness and reduced exercise tolerance.
A 42-year-old Afro-Caribbean man comes to the clinic complaining of reduced energy, sleepiness and reduced exercise tolerance. He has a past medical history of type 2 diabetes, which is well controlled on diet and metformin, and hypertension, for which he takes amlodipine. He is a non-smoker and occasionally has a glass of wine with his dinner. He works as a music teacher and finds it difficult to finish a day of teaching without feeling very run down. He does not know his family history as he was adopted. He is investigated as follows:
| Hb | 9 | Creatinine | 72 |
| WBC | 8.8 | eGFR | >90 |
| Neutrophils | 5 | TSH | 3.0 |
| Platelets | 156 | B12/Folate | Normal |
| Clotting Screen | Normal | ECG | Normal Sinus Rhythm |
| Na | 141 | Transthoracic Echocardiogram | Preserved LV function (LVEF 56%), mild-moderate Aortic Stenosis, Mitral/Pulmonary/Tricuspid valve normal |
| K | 4.6 | ||
| Ur | 5.2 | ||
Which other investigation should be requested at this stage?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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