(FIT)-Module 4 Workshop 7: Electrocradiogrpahic and Electrophysiological Correlations, Atrial Fibrillation, Clinical Scenarios and Syndromes-Poole Case 3 Question

Video Transcription

Video Summary

A 28-year-old male in the emergency department experienced rapid palpitations after consuming pizza and beer. Despite having similar episodes for 10 years, this one required medical attention. His blood pressure was 105/70, and after being administered 6 mg and 12 mg of IV adenosine, his ECG rhythm changed, though he continued to have palpitations with a blood pressure of 100/74. The options for further treatment were intravenous procainamide, immediate cardioversion, intravenous verapamil, or IV amiodarone. The case involves analyzing his ECG traces to choose the appropriate intervention.

Keywords

rapid palpitations

IV adenosine

ECG rhythm change

intravenous procainamide

cardioversion