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EasyCardiologyParoxysmal supraventricular tachycardiaca-mccqe1ca-rcpsc-em

A 40-year-old woman presents with intermittent palpitations and sudden-onset episodes of rapid regular tachycardia at 180 beats per minute. She is haemodynamically stable with normal blood pressure and no structural heart disease. Vagal manoeuvres fail to terminate the rhythm. ECG is consistent with paroxysmal supraventricular tachycardia. What is the next best acute treatment?

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