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Stable monomorphic ventricular tachycardia — ABEM Board MCQ

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ModerateCardiovascular emergenciesStable monomorphic ventricular tachycardiaABEM Board

A 52-year-old man arrives as ESI 2 with chest pain and a wide-complex tachycardia at 170/min. BP 118/76, he is alert, and ECG is regular monomorphic VT. Which of the following is the most appropriate next step in management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Administer IV procainamide or amiodarone while prepared for cardioversion

Stable monomorphic VT is treated with an antiarrhythmic such as procainamide or amiodarone with readiness for synchronized cardioversion if deterioration occurs.

Reference: AHA ACLS Adult Tachycardia Algorithm