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Electrical Cardioversion for Wide Complex Tachycardia

Abhishek Roka1, Tej G Stead2, Sidhartha R Ramlatchan3

  • 1Emergency Medicine, University of Central Florida College of Medicine, Orlando, USA.

Cureus
|September 19, 2019
PubMed

Insights

Electrical cardioversion effectively treated a patient with unstable wide complex tachycardia (WCT), restoring normal sinus rhythm. The patient was discharged on flecainide and nebivolol after a negative cardiac workup.

Area of Science:

  • Cardiology
  • Electrophysiology

Background:

  • Wide complex tachycardia (WCT) can lead to hemodynamic instability.
  • Prompt and effective treatment is crucial for patients with unstable WCT.

Observation:

  • A case of a patient presenting with hemodynamically unstable WCT is described.
  • The patient received electrical cardioversion as an intervention.

Findings:

  • Successful restoration of normal sinus rhythm was achieved with 100 joules of electrical cardioversion on the first attempt.
  • The patient underwent cardiac evaluation and was discharged on flecainide and nebivolol.

Implications:

  • Electrical cardioversion is a viable and effective treatment for hemodynamically unstable WCT.
  • Pharmacological management with flecainide and nebivolol may be appropriate for select patients post-cardioversion.

Keywords:
cardioversionelectrical cardioversiontachycardiawide complex tachycardia

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