Question

A 61-year-old man presents with palpitations. He is hemodynamically stable. An ECG shows a regular wide-complex tachycardia at 160 bpm, consistent with monomorphic ventricular tachycardia. What is the best initial therapy?

Accepted Answer

Amiodarone 150 mg IV over 10 minutes

Answer

Adenosine 6 mg IV push, repeated as needed

Answer

Immediate unsynchronized defibrillation

Answer

Verapamil IV

Answer

No treatment needed

Practice question

A 61-year-old man presents with palpitations. He is hemodynamically stable. An ECG shows a regular wide-complex tachycardia at 160 bpm, consistent with monomorphic ventricular tachycardia. What is the best initial therapy?