56 yo male comes to ED after syncopal episode. Bp stable at this time but this is his ecg. Rhythm and treatment ?

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RBBB, LAHB S/O : bifascicular block, persistent S wave in v6 s/o : RVH, Atrial fibrillation Adv: 2 D echo If patient is stable start tab.cardarone 200 mg BD, inj.oxprin 1 mg/ kg SC BD

A patient having this rythm complaining of syncope, as per AHA/ACC recommendation we need to check whether the patient is hemodynamically stable or not. If answered yes then the patient needs to be cardioverted. Now as per history the patient seems to be hemodynamically stable and has a broad complex tachycardia. So adenosine is recommended . 6mg followed by a saline flush and second dose of 12mg if required. If persistent, antiarrhythmic infusion of amiodarone or procainamide is recommended . Cardiologist to be asked to opine . How is the patient doing now ?

In broad complex tachycardia, Adenosine , is it advisable , ?
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Ventricular tachycardia patient is stable so control rate by beta blockers n to normal rhythm by elective cardioversion

AV nodal re-entrant tachycardia RBBB Probably LAHB Treatment - inj adenosine

Psvt Rbbb +lahb Means no VT PLUS U CAN SEE FEW P WAVES INVERTED ALSO

Complete right bundle branch block. lead 1 ,2 3 not visible

SVT with RBBB aberration. AV DISSOCIATION present.

RT UPPERMOST QUDRANT AXIS SINUS TACHYCARDIA RBBB

LAD LAHB RBBB A.fib with rapid v.response

SVT with aberrant conduction(RBBB).

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