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EasyEmergencyParoxysmal supraventricular tachycardiaca-mccqe1ca-rcpsc-em

A 24 year old man presents with sudden onset palpitations. ECG shows narrow complex tachycardia at 190 beats per minute consistent with AV nodal re entry tachycardia. He is haemodynamically stable with normal blood pressure. What is the most appropriate initial management?

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