67 yr old female k/c/o CAD, Hypertension,COPD on medication.c/o sudden onset of central chest pain radiating to lower jaw ,profuse sweating and palpitation. 0/E Afebrile,PR 264bpm,BP 100/60,chest :B/L rales+,spo2 94%

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1st ecg Atrial tachycardia Post Amiodarone S.Tachy Whenever there is NCT Amiodarone is not a 1st choice Valsalva>Adenosine >CCB>B blocker >Digoxin >Amiodarone >Cardioversion in chronological order if fails one by one

K/c/o COPD ,pt was admitted in ward for COPD A/E
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SVT with Septal wall MI

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SVT

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SVT (AVNRT)

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SVT with Septal Wall MI

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QRS complex is narrow Absence of P SVD

Bp not that unstable...attempt vagal manouvers 1st...if not successful adenosine 6mg...if at anytime pt becomes unstable 50J synchronized shock

Bt sir..dis pt was admitted in ward for COPD /AE ,chest :b/L rhonchi++
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SVT amioderone is first choice of drug

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SVT

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If not converted Then 50 to 100J shock for cardioversion

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