Question

A 36-year-old woman presents with episodic palpitations, sweating and tremor. ECG during symptoms shows narrow complex tachycardia at 190 bpm. She is haemodynamically stable. What is the most appropriate initial treatment?

Accepted Answer

Vagal manoeuvres followed by intravenous Adenosine if needed

Answer

Synchronised DC cardioversion

Answer

Intravenous Lidocaine

Answer

Oral beta-blockers only

Answer

No treatment is required

Practice question

A 36-year-old woman presents with episodic palpitations, sweating and tremor. ECG during symptoms shows narrow complex tachycardia at 190 bpm. She is haemodynamically stable. What is the most appropriate initial treatment?