A pre-hospital team is managing a 45-year-old female with known Wolff-Parkinson-White syndrome who develops a regular narrow-complex tachycardia at 20...

Question

A pre-hospital team is managing a 45-year-old female with known Wolff-Parkinson-White syndrome who develops a regular narrow-complex tachycardia at 200 bpm. She is haemodynamically stable. Can adenosine be used safely in known WPW with a regular narrow-complex SVT?

Accepted Answer

Yes - adenosine can be used cautiously for a REGULAR narrow-complex tachycardia in WPW, as this is likely orthodromic AVRT conducting normally through the AV node; a defibrillator must be immediately available in case the rhythm degenerates

Answer

Amiodarone is first-line for all tachycardias in WPW

Answer

No treatment is needed for stable SVT in WPW

Answer

Only verapamil should be used in WPW with SVT

Answer

Adenosine is absolutely contraindicated in all WPW patients regardless of rhythm

uk-dipimc MCQ (SBA): Adenosine in WPW - Regular Narrow Complex

A pre-hospital team is managing a 45-year-old female with known Wolff-Parkinson-White syndrome who develops a regular narrow-complex tachycardia at 200 bpm. She is haemodynamically stable. Can adenosine be used safely in known WPW with a regular narrow-complex SVT?