19th February 2025

A 63-year-old lady with a background of heart failure presents to the emergency department with a history of mild chest pain and progressive shortness of breath.

A 63-year-old lady with a background of heart failure presents to the emergency department with a history of mild chest pain and progressive shortness of breath. Her observations show a blood pressure of 111/72, heart rate of 91, saturations of 92% on room air and a respiratory rate of 22. Examination reveals fine bibasal inspiratory crackles, a raised JVP and peripheral pitting oedema. You suspect an acute decompensation in her heart failure with pulmonary oedema. Which of the following tests is NOT likely to form part of the initial work up?

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