A 30 year old female presented with eclampsia. After 3 hours of admission she is complaining of palpitations for which ECG was performed. Vitals are stable. What is the next best management?
DC shock
MgSO4
Amiodarone
Adenosine
Vitals are stable.ECG of patient shows: Broad QRS Complex tachycardia (QRS > 160msec) . HR [?] 300/min Amplitude of every QRS is variable. Dx: Torsades de pointes --> Type of Polymorphic ventricular tachycardia --> due to prolongation of QT Trigger -Vomiting, hypokalemia. Tachyarrhythmia management: In unstable patient --> Cardioversion In stable patient --> Mg SO4. -Amiodarone: monomorphic VT -Adenosine: AVN
ECG and Arrhythmias 1