Question

A 28-year-old woman presents with recurrent episodes of palpitations and has an ECG showing narrow-complex tachycardia at 180 beats/min consistent with AV nodal re-entrant tachycardia. She is haemodynamically stable. What is the FIRST-line acute treatment?

Accepted Answer

Vagal manoeuvres such as Valsalva manoeuvre

Answer

Synchronized DC cardioversion

Answer

Intravenous verapamil without monitoring

Answer

Lidocaine bolus

Answer

Long-term beta blocker therapy only

Practice question

A 28-year-old woman presents with recurrent episodes of palpitations and has an ECG showing narrow-complex tachycardia at 180 beats/min consistent with AV nodal re-entrant tachycardia. She is haemodynamically stable. What is the FIRST-line acute treatment?