Question 211 · LEK · Atrial fibrillation
A 70-year-old male patient experienced palpitations and chest pain, his arterial blood pressure was 70/50 mmHg. The ECG showed atrial fibrillation with ventricular function 180/min. The appropriate management was to:
- A. perform electrical cardioversion.
- B. administer amiodarone.
- C. perform Valsalva manoeuvre.
- D. administer lidocaine.
- E. administer digoxin.
Hint
Hypotension and chest pain are adverse features in a tachyarrhythmia — what does the ALS tachycardia algorithm advise then?
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