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If you don't know what the dysrhythmia is, then try procainamide. Episodes of angina over past couple of months had been progressive. Pads were placed with ultrasound guidance, so they were in the correct position. What to do now? If you believe it is SVT, then try adenosine. So I would give procainamide.
The problem with both these tests are that they study the heart at rest and sometimes abnormalities may be picked up only when the heart is stressed and therefore combining these modalities with a stress test can be even more helpful and by far the best form of stress is exercise. You can only diagnose it in retrospect.
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