A 55-year-old male develops palpitations and dizziness during a marathon. He is conscious with a blood pressure of 85/55 mmHg and heart rate of 180 bp...

Question

A 55-year-old male develops palpitations and dizziness during a marathon. He is conscious with a blood pressure of 85/55 mmHg and heart rate of 180 bpm. His ECG shows a regular narrow-complex tachycardia. Vagal manoeuvres have been unsuccessful. What is the next appropriate treatment?

Accepted Answer

Adenosine 6 mg rapid IV bolus

Answer

Carotid sinus massage for 15 seconds

Answer

Amiodarone 300 mg IV over 20 minutes

Answer

Synchronised DC cardioversion

Answer

Verapamil 5 mg IV over 2 minutes

uk-dipimc MCQ (SBA): SVT Management

A 55-year-old male develops palpitations and dizziness during a marathon. He is conscious with a blood pressure of 85/55 mmHg and heart rate of 180 bpm. His ECG shows a regular narrow-complex tachycardia. Vagal manoeuvres have been unsuccessful. What is the next appropriate treatment?