Question

A 65-year-old man presents with a regular broad complex tachycardia at 160 bpm, blood pressure 110/70 mmHg and no chest pain or heart failure signs. He has a history of previous myocardial infarction. What is the most appropriate immediate management?

Accepted Answer

IV amiodarone infusion

Answer

Synchronous DC cardioversion under sedation

Answer

IV adenosine bolus

Answer

Carotid sinus massage

Answer

No treatment is required as he is haemodynamically stable

Practice question

A 65-year-old man presents with a regular broad complex tachycardia at 160 bpm, blood pressure 110/70 mmHg and no chest pain or heart failure signs. He has a history of previous myocardial infarction. What is the most appropriate immediate management?