CTAS 2: A 63-year-old with prior MI has palpitations and lightheadedness. Vitals are BP 118/72, HR 168, SpO2 96%. ECG shows regular wide-complex

Question

CTAS 2: A 63-year-old with prior MI has palpitations and lightheadedness. Vitals are BP 118/72, HR 168, SpO2 96%. ECG shows regular wide-complex tachycardia with AV dissociation. He is alert and has no chest pain. What is the most appropriate initial management?

Accepted Answer

Procainamide infusion with defibrillator pads applied

Answer

Adenosine followed by discharge if rhythm converts

Answer

Immediate unsedated cardioversion despite stability

Answer

Carotid massage as definitive therapy

Answer

Diltiazem infusion for presumed atrial flutter

Stable monomorphic ventricular tachycardia — RCPSC EM MCQ

CTAS 2: A 63-year-old with prior MI has palpitations and lightheadedness. Vitals are BP 118/72, HR 168, SpO2 96%. ECG shows regular wide-complex tachycardia with AV dissociation. He is alert and has no chest pain. What is the most appropriate initial management?