Full 2L QBank
Medicine ECG and Arrhythmias 1 6164673d

Best management of a hemodynamically stable patient with ECG showing Broad QRS complex with antidromic tachycardia is?

A
Oral Verapamil
B
Oral Beta-blocker
C
Cardioversion
D
Intravenous Procainamide
High-Yield Explanation
Option A: Verapamil can't be given in WPW syndrome, it will block the A-V Node & will be more conduction through Bundal of kent & it'll trigger Antidromic conduction. Option B: Beta Blocker = B not use in emergency. Even if will give iv B , it'll only control HR but it'll not control fast conduction which is occurring in bundle of kent. Option D: IV procainamide, it will reduce conduction speed of bundle of Kent. Option C: Cardioversion= we don't give cardioversion to hemodynamic stable person.

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