Question

A 65-year-old man with long-standing hypertension and coronary artery disease presents with progressive exertional dyspnoea and orthopnoea. Echocardiography reveals concentric left ventricular hypertrophy with preserved ejection fraction and diastolic dysfunction. According to Canadian heart failure guidance, which non-pharmacologic intervention should be routinely recommended in addition to optimal medical therapy?

Accepted Answer

Regular moderate-intensity aerobic and resistance exercise as tolerated

Answer

Strict fluid intake restriction to less than 1.0 L per day in all patients

Answer

Routine nocturnal oxygen therapy

Answer

High-protein, high-sodium diet to maintain intravascular volume

Answer

Bed rest to reduce cardiac workload

Practice question