A 50-something with Regular Wide Complex Tachycardia: What to do if electrical cardioversion does not work?
Dr. Smith's ECG Blog
SEPTEMBER 19, 2023
If you don't know what the dysrhythmia is, then try procainamide. The fact that the 50yo man in today's case has known coronary disease ( including exercise-induced angina over the previous 3 months ) — means that even before looking at his initial ECG — statistical odds that his regular WCT rhythm will be VT are at least 90%.
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