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Can diltiazem replace adenosine as part of the initial management of stable supraventricular tachycardia?

In Clinical Questions by Raymond YuLeave a Comment

A 50-year-old female presents to your ER with a chief complaint of palpitations. A 12-lead ECG shows supraventricular tachycardia at a rate of 165 bpm, and she is put on telemetry. She is clinically stable. You attempt the modified Valsalva maneuver with no effect. You explain that you will have to give her medication to bring her heart rhythm back to normal. She asks if you will give her “that adenosine drug” and …

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Sirens to Scrubs: Wolff-Parkinson-White Syndrome

In Medical Concepts, Sirens to Scrubs by Paula Sneath2 Comments

You are dispatched to Jasmine, a 31yo patient, for palpitations. On arrival, you find her clinically stable in a narrow-complex, regular tachycardia at a rate of 180bpm. As you begin to coach her through vagal maneuvers and reach for your adenosine she advises you ‘I have something called Wolff-Parkinson-White – does that change anything?’ You think maybe it does, but you’re not sure. [bg_faq_start] About Sirens to Scrubs Sirens to Scrubs was created …