6th May 2025

An 84-year-old lady attends the GP surgery with a 6-month history of swollen ankles, fatigue and a night-time cough.

An 84-year-old lady attends the GP surgery with a 6-month history of swollen ankles, fatigue and a night-time cough. She has a past medical history of an NSTEMI and a recent ECHO shows an ejection fraction of 39%. What is the most appropriate first list management which will confer a prognostic benefit to this patient? 

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