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11 minutes ago, Leonora DEsposito said:

Thanks! Sharing with my residents and other Neonatologíst in my Hospital in Dominican Repúblic.

Thanks so much. This is what I want, share and spread the knowledge. These mcq's are great asset for fellows in training. 

Naveed

@rehman_naveed

Regarding Q2 in cardiology

The answer and critique need review ventricular tachycardia with pulse so stable ( normal BP normal CRT ) so medication here we can consider adenosine then expert consultation.

Ventricular tachycardia with pulse unstable ( low BP , prolonged CRT ) so sybchronized cardioversion starting with 0.5 j/ kg

Pulseless Ventricular tachycardia same as VF management is defebrillation start with 2 j/ kg

  • Author
8 hours ago, tarek said:

@rehman_naveed

Regarding Q2 in cardiology

The answer and critique need review ventricular tachycardia with pulse so stable ( normal BP normal CRT ) so medication here we can consider adenosine then expert consultation.

Ventricular tachycardia with pulse unstable ( low BP , prolonged CRT ) so sybchronized cardioversion starting with 0.5 j/ kg

Pulseless Ventricular tachycardia same as VF management is defebrillation start with 2 j/ kg

Hi Tarek

Thank you so much for the e mail and comments about Q2 of Cardiology.  To my knowledge Adenosine has no role in Ventricular tachycardia. Here patient is stable with pulse and BP, so stable V Tach is treated with IV Lidocaine and pulseless  V tach with defibrillation and not with synchronized cardio version. I am attaching a reference review article for our discussion.Unfortunately our site didn't upload >1.95MB files so as such I am sending DOI, it is free. Please see page 349. Please let me know what you think. 

Contrary what you said is what we do in Supraventricular tachycardia, IV adenosine when stable and synchronized DC shock when unstable.

Thanks

DOI: https://doi.org/10.3345/kjp.2017.60.11.344

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