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Ventricular tachycardia — RACP Paediatrics MCQ

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HardCardiologyVentricular tachycardiaRACP Paediatrics

A 10-year-old presents with palpitations and dizziness. ECG shows a regular broad complex tachycardia at a rate of 200 bpm. Blood pressure is 70/40 mmHg and the child is pale with prolonged capillary refill. What is the most appropriate management?

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Correct answer: B — Synchronised DC cardioversion

A haemodynamically unstable child with broad complex tachycardia requires immediate synchronised DC cardioversion at 1 J/kg (increasing to 2 J/kg if unsuccessful). Broad complex tachycardia in children should be treated as VT until proven otherwise.

Reference: RCH Melbourne – 2023 – Arrhythmia CPG; ANZCOR – 2024 – Paediatric ALS Guidelines