Electrical cardioversion successfully treated a hemodynamically unstable wide complex tachycardia.
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Supports cardioversion in unstable wide-complex tachycardia; case report leaves open generalizability and optimal dosing.
We present a case of electrical cardioversion used to treat a hemodynamically unstable wide complex tachycardia (WCT). The patient returned to normal sinus rhythm after being cardioverted with 100 joules (J) on the first attempt. He was admitted to the hospital for cardiac evaluation and ultimately discharged home on flecainide and nebivolol after a negative cardiac workup.
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Roka et al. (2019) studied this question.
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