A 64-year-old woman has suspected pulmonary hypertension bas…

Questions

A 64-yeаr-оld wоmаn hаs suspected pulmоnary hypertension based on echocardiogram findings showing elevated pulmonary artery pressures and right ventricular enlargement. She reports worsening exertional dyspnea but is stable at rest.   What is the most appropriate next step in management?