The best initial treatment for SVT

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