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Medicine C.V.S b403b183

Which of the following is the treatment of choice for Atrial fibrillation in patients with WPW syndrome who are hemodynamically unstable

A
Procainamide
B
Digoxin
C
DC Cardioversion
D
Radio-frequency ablation of the bypass tract
High-Yield Explanation
Administration of AV nodal-blocking agents including oral or intravenous verapamil, diltiazem, beta block- ers, intravenous adenosine, and intravenous amiodarone are contra- indicated. Preexcited tachycardias should be treated with electrical cardioversion or intravenous procainamide or ibutilide, which may terminate or slow the ventricular rate. Ref Harrison 20th edition pg 1532

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