A 29-year-old man collapses with palpitations. ECG shows wide-complex tachycardia at 180 bpm with capture beats and AV dissociation. BP 92/60, alert. ...

Question

A 29-year-old man collapses with palpitations. ECG shows wide-complex tachycardia at 180 bpm with capture beats and AV dissociation. BP 92/60, alert. What is the best immediate management?

Accepted Answer

Synchronized cardioversion

Answer

Adenosine rapid IV push

Answer

Amiodarone for stable SVT with aberrancy

Answer

Carotid sinus massage

Answer

IV diltiazem

Ventricular tachycardia-acute management — MRCEM SBA MCQ

A 29-year-old man collapses with palpitations. ECG shows wide-complex tachycardia at 180 bpm with capture beats and AV dissociation. BP 92/60, alert. What is the best immediate management?