Immediate synchronized cardioversion indicated for unstable narrow-complex tachycardia; leaves open long-term ablation strategy in young adults.
A 28-year-old woman suddenly has rapid palpitations with dizziness while playing her cello. She is brought to an emergency department. She has a faint regular pulse of 190 beats per minute. Her blood pressure is 82/54 mm Hg. Cardiovascular examination reveals no signs of heart failure. An electrocardiogram shows a regular tachycardia with a narrow QRS complex and no apparent P waves. How should her case be managed?
No takes yet. Share an insight, caveat, or question.
Etienne Delacrétaz (2006) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: