1 MCQs in Medicine for NEET PG
A 58-year-old man with a 3-year history of dilated cardiomyopathy presents with progressive dyspnoea on exertion. He undergoes cardiopulmonary exercise testing (CPET) on a cycle ergometer with ramp protocol. The pattern marked **A** in the diagram is observed: peak VO2 is reduced at 10 mL/kg/min, VE/VCO2 slope is 38, and oxygen pulse shows a flat plateau with increasing workload. Which of the following is the most appropriate next step in management?
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