Question

A patient presents with sudden onset palpitations and an ECG showing narrow complex tachycardia at a rate of 180 bpm with no visible P waves. Vagal maneuvers fail to revert the rhythm. What is the next recommended acute management step according to NICE?

Accepted Answer

Intravenous adenosine

Answer

Intravenous beta-blocker

Answer

Intravenous amiodarone

Answer

Synchronized DC cardioversion

Answer

Digoxin

Practice question

A patient presents with sudden onset palpitations and an ECG showing narrow complex tachycardia at a rate of 180 bpm with no visible P waves. Vagal maneuvers fail to revert the rhythm. What is the next recommended acute management step according to NICE?