Demystifying a Fast Heartbeat
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Question 1 of 3
1. Question
What is the next step in management based on the Resuscitation Council UK 2021 guidelines?
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Question 2 of 3
2. Question
After consultation with a cardiologist, a further 18mg adenosine was given and a transient AV block was attained. Rhythm strip is as shown below.
Fig. 2 via LITFL6
What is the underlying diagnosis?
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Question 3 of 3
3. Question
The patient subsequently cardioverted with a synchronized DC shock with adequate sedation.
Paroxysmal atrial tachycardia with 1:1 conduction is an uncommon ED presentation. More commonly paroxysmal atrial tachycardia presents with block (2:1, 3:1).
The patient later admitted that she was taking some medication which was prescribed to her grandmother when she had similar symptoms.
Which drug is the patient likely to have taken?
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