A 65-year-old man with known ischaemic cardiomyopathy (EF 20%) is admitted to ICU with an acute exacerbation of heart failure. He develops sustained m...

Question

A 65-year-old man with known ischaemic cardiomyopathy (EF 20%) is admitted to ICU with an acute exacerbation of heart failure. He develops sustained monomorphic ventricular tachycardia at 170 bpm. BP is 90/55 mmHg and he is conscious but drowsy. Peripheral pulses are palpable. According to the Resuscitation Council UK peri-arrest tachycardia algorithm, what is the most appropriate management?

Accepted Answer

Synchronised DC cardioversion under sedation

Answer

IV amiodarone 300 mg over 20-60 minutes

Answer

IV adenosine 6 mg rapid bolus

Answer

IV lidocaine 100 mg bolus

Answer

IV verapamil 5 mg

uk-fficm MCQ (SBA): Ventricular Tachycardia