ECG from a 25- year-old man with palpitations, breathlessness with crepitations and dizziness

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Its SVT.pl push 5mg iv bolus betalock. If no.response push 25mg of diltiazem Repeat after 1mts if u don't get sinus rhythm. Once u achieve sinus rhythm pl put him on oral diltiazem 30mg 8 hrly Pl plan for EP study later on

AVNRT adenosin, if fails Amiodarone/Diltizem /Labetelol/cardioversion

Its a case of PSVT.

PSVT with tachycardia induced ischaemia and HF

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