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A 53 year old male presents with palpitations for one hour. He has no chest pain and he is awake and able to talk to you. His BP is 110/ 60. He has no past medical history and has a family history significant only for a brother in his 60’s who had a stroke. What does the EKG show? Rate: 230 Rhythm: wide complex tachycardia Axis: left axis P: Not clearly seen QRS: wide EKG diagnosis: Ventricular tachycardia Clinical diagnosis: Stable ventricular tachycardia What intervention did you do to go from the 1st EKG to the 2nd EKG? -Amiodarone or lidocaine -if unstable vital signs, immediate cardioversion -may try adenosine initially if you suspect SVT with aberrancy and vitals are stable -remember, wide complex tachycardia is Ventricular tachycardia until proven otherwise |