The best initial treatment for SVT>>>>
Carotid massage if stable BP
Failed >>>> IV adenosine
If with asthma >>Verspamil
If hypotensive >>>Synchronised DC shock .
The best long term treatment for recurrent SVT>>>catheter ablation
The best initial treatment for VT or wide complex tachycardia >>>
Stable blood pressure >>IV amiodarone
Hypotension or chest pain or excess dyspnea>>>synchronised DC shock
If with digitalis toxicity>>> IV epanutin or lidocaine
plus digibind …
If with TCA >>>>IV sodium bicarbonate
The best initial treatment of Rapid AF >>>
Unstable BP>>> synchronised DC shock
Stable BP and more than 48 h>> rate control with BB or CCB .
Stable BP and less than 48 h>>> conversion with propafenone or amiodarone