A 25-year-old woman is brought to the Emergency Department by a friend. She developed palpitations around 30 minutes ago whilst drinking a cup of coffee. Her only past medical history of note is asthma and menorrhagia for which she uses a salbutamol inhaler and takes tranexamic acid respectively. The admission ECG shows a supraventricular tachycardia at a rate of 160 bpm. Vagal manoeuvres are unsuccessful. What is the most appropriate next step in her management?
A. Intravenous verapamil***
B. Intravenous amiodarone
C. Intravenous adenosine
D. Electrical cardioversion
E. Intravenous esmolol.
A. Intravenous verapamil***
B. Intravenous amiodarone
C. Intravenous adenosine
D. Electrical cardioversion
E. Intravenous esmolol.
Labels
cardiology