Question 181 · LEK · Atrial fibrillation
The man was admitted to the Emergency Unit due to syncope without loss of consciousness. The patient complains of pain in the chest and weakness. The patient is chronically treated with VKA due to atrial flutter. The examination reveals cold, pale and sweat skin, a heart rate 130 per minutes, blood pressure 80/50 mmHg. The electrocardiography shows atrial flutter. First of all you should apply:
- A. 300 mg amiodarone within 10 minutes intravenously.
- B. electrical cardioversion up to three times.
- C. 2 g magnesium sulphate solution intravenously.
- D. 6 mg adenosine intravenously.
- E. 0.25 mg digoxin intravenously.
Hint
Look for adverse features (hypotension, chest pain, shock signs) in a tachyarrhythmia and recall what they mandate.
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