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EasyCardiologyParoxysmal supraventricular tachycardiaca-mccqe1ca-rcpsc-em

A 45-year-old man with no structural heart disease has episodic palpitations. ECG in clinic shows narrow-complex tachycardia at 190 beats/min consistent with paroxysmal supraventricular tachycardia. He is haemodynamically stable. After vagal manoeuvres fail, which is the most appropriate next acute treatment?

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