Q:

A 65 year old male presents with dyspnea and palpitations. Examination: pulse 170bpm, BP 120/80mmHg. Carotid massage has been done as first instance. What is the next step of the management?

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A 65 year old male presents with dyspnea and palpitations. Examination: pulse 170bpm, BP

120/80mmHg. Carotid massage has been done as first instance. What is the next step of the

management?


  1. Adenosine
  2. Amlodipine
  3. DC cardioversion
  4. Lidocaine
  5. Beta blocker

All Answers

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The key is A. Adenosine. [The likely diagnosis is SVT. 1st vagal maneuvers (carotid sinus massage, Valsalva manoeuvre), if fails iv adenosine].

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