Question

A 36-year-old woman presents with episodes of palpitations and lightheadedness. A 24-hour Holter monitor shows episodes of paroxysmal supraventricular tachycardia (PSVT). She is haemodynamically stable during episodes. Which is the most appropriate acute termination manoeuvre to try first?

Accepted Answer

Vagal manoeuvres such as Valsalva

Answer

Synchronised DC cardioversion

Answer

Intravenous lignocaine

Answer

Long-term beta blocker therapy

Answer

Immediate ablation

Practice question

A 36-year-old woman presents with episodes of palpitations and lightheadedness. A 24-hour Holter monitor shows episodes of paroxysmal supraventricular tachycardia (PSVT). She is haemodynamically stable during episodes. Which is the most appropriate acute termination manoeuvre to try first?