6th March 2024

A 66-year-old gentleman with known hypertrophic cardiomyopathy attends the cardiology clinic complaining of worsening exertional shortness of breath.

A 66-year-old gentleman with known hypertrophic cardiomyopathy attends the cardiology clinic complaining of worsening exertional shortness of breath. His current medication includes bisoprolol 7.5 mg. His heart rate is 56 bpm in clinic and a recent stress exercise echocardiogram shows a pressure gradient of 58 mmHg across the LVOT. You decide to refer him for consideration of surgical myomectomy, in the meantime what should you offer him to manage his shortness of breath?

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