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Old 01-02-2013
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Default An electrocardiogram

A 20-year-old woman presents to the emergency room (ER) complaining of palpitations. She has no other complaints or known medical illnesses. Her BP is 120/70 mm Hg. An electrocardiogram (ECG) is recorded (see figure). After a brief but spirited debate, the ER physicians decide to use medical therapy to treat the patient’s condition. Which of the following drugs would be the most appropriate in this situation?



A. Amiodarone
B. Bretylium tosylate
C. Digoxin
D. Lidocaine
E. Magnesium sulfate
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Default torsades?

EE....MgSo4
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This is Torsedes
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Old 01-02-2013
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Ventricular Tachycardia
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Last edited by Novobiocin; 01-02-2013 at 03:11 PM.
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Old 01-02-2013
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Amiodarone
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Old 01-02-2013
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ANS = A

pt is hemodynamically stable in this V. Tach so Amiodarone 1st then lidocaine then procainamide if needed!
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Its Monomorphic VT...so A is my answer......

Just a small query.....How do u differentiate between Polymorphic VT and Torsades rhythm....????
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Answer-------A
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Old 01-03-2013
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Answer is A.

Quote:
Originally Posted by anomali View Post
Its Monomorphic VT...so A is my answer......

Just a small query.....How do u differentiate between Polymorphic VT and Torsades rhythm....????

Torsades rhythm is a type of Polymorphic VT but I believe that only Torsades has the characteristic "twisting" shape.
Any more details are for cardiology boards.
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