Question

A 45-year-old patient presents with episodes of sudden racing heartbeats and light-headedness. An ECG confirms paroxysmal supraventricular tachycardia (SVT). Valsalva manoeuvre fails to terminate the episode. What is the recommended next acute management step?

Accepted Answer

IV adenosine

Answer

IV beta-blocker

Answer

IV amiodarone

Answer

Carotid sinus massage without further monitoring

Answer

Immediate DC cardioversion

Practice question

A 45-year-old patient presents with episodes of sudden racing heartbeats and light-headedness. An ECG confirms paroxysmal supraventricular tachycardia (SVT). Valsalva manoeuvre fails to terminate the episode. What is the recommended next acute management step?