Question

A 55-year-old man presents with persistent palpitations. ECG shows a regular narrow-complex tachycardia at 180 bpm consistent with AVNRT. He is haemodynamically stable. According to current guidelines, what is the recommended first-line acute management?

Accepted Answer

Vagal manoeuvres, then IV adenosine if unsuccessful

Answer

Intravenous amiodarone

Answer

Intravenous beta-blocker

Answer

Direct current cardioversion

Answer

Oral flecainide

Practice question

A 55-year-old man presents with persistent palpitations. ECG shows a regular narrow-complex tachycardia at 180 bpm consistent with AVNRT. He is haemodynamically stable. According to current guidelines, what is the recommended first-line acute management?