A 54-year-old man with a history of hypertension and hyperlipidemia presents to the emergency department with sudden-onset chest tightness and shortne...

Question

A 54-year-old man with a history of hypertension and hyperlipidemia presents to the emergency department with sudden-onset chest tightness and shortness of breath 30 minutes ago. ECG shows wide complex tachycardia at 180 beats per minute with regular rhythm and no discernible P waves. Blood pressure is 80/50 mm Hg, and he is diaphoretic. What is the most appropriate management?

Accepted Answer

Synchronized cardioversion

Answer

Amiodarone bolus and infusion in a stable patient

Answer

Vagal maneuvers

Answer

Adenosine rapid IV push

Answer

Observation only

us-abem MCQ (SBA): Hemodynamically Unstable Ventricular Tachycardia