Question 145 · LEK · Supraventricular tachycardia

A 70-year-old patient was admitted to the ER with the electrocardiogram shown below. The pulse was palpable on the carotid artery, and the paramedics reported that the ambulance had been called by patient’s wife who had found her husband fainted in the bathroom. Indicate the most appropriate treatment:

Figure for the question
  1. A. 200 J defibrillation.
  2. B. 100 J defibrillation.
  3. C. electric cardioversion.
  4. D. transcutaneous pacing.
  5. E. administration of catecholamines.
Hint

Identify the rhythm on the strip, then ask whether the patient has a pulse and any adverse feature.

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