Question
A patient presents to emergency and ECG was recorded as shown below. What will be the immediate management?
A. Adenosine
B. DC cardioversion
C. Diltiazem
D. Lignocaine
Show Answer
|
Correct Answer » B
Explanation
|
|
Answer- B. DC cardioversion
- ECG shown is suggestive of tachycardia with broad complexes and regular rhythm, i.e. Iikely monomorphic ventricular
- tachycardia. Management is DC cardioversion if patient is unstable and Amiodarone for stable patients. Adenosine is mused in narrow complex or paroxysmal supraventricular tachycardia. Lignocaine is not indicated unless it is a post MI or ischemic VT.
- “sustained Monomorphic Ventricular Tachycardia: Initial managementfollows Advanced Cardiac Life Support (ACLS) guidelines. If hypotension, impaired consciousness, or pulmonary edema is prcsent, QRS synchronous electrical cardioversion should be performed, ideally after sedation if the patient is conscious. For stable tachycardia, a trial of
- adenosine is reasonable, as this may clarify a supraventricular tachycardia with aberrancy. Intravenous amiodarone is the drug of choice d heart disease is present
Like this:
Like Loading...
