QuestionSBA
QuestionChoice
This is the management of regular, broad complex tachycardias without life-threatening features. The rhythm seen here is an irregular, broad complex tachycardia.
10035863
b
IV amiodarone
QuestionChoice
This is the management of irregular, narrow complex tachycardias without life-threatening features. The rhythm seen here is an irregular, broad complex tachycardia.
10035866
e
IV diltiazem
QuestionChoice
This is an irregular, broad complex rhythm in keeping with Torsades des Pointes (polymorphic ventricular tachycardia). Lithium is a risk factor for QTc prolongation which can predispose to Torsades des Pointes. Magnesium is the correct medical treatment for this if no life-threatening features are present.
10035862
a
IV magnesium
QuestionChoice
This is the second line management of regular, narrow complex tachycardias without life-threatening features after vagal manoeuvres have been tried. The rhythm seen here is an irregular, broad complex tachycardia.
10035864
c
IV adenosine
QuestionChoice
This is the first line of management of regular, narrow complex tachycardias without life-threatening features. The rhythm seen here is an irregular, broad complex tachycardia.
10035865
d
Vagal manoeuvres
QuestionComment
the only reason i didnt put magnesium was because i thought they were tryin to trick me out without putting the sulphate part, its been a long day man 
54197
User
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Spider-Man
Concept
Chapter
2693
6160
Emergency management of Torsades des Pointes
Topic
199
Emergency Medicine
19576
Torsades de Pointes is a polymorphic ventricular tachycardia often associated with QTc prolongation, and IV magnesium is the first-line treatment.
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A 57-year-old male with a background of bipolar disorder experiences palpitations. He said this commenced when he was walking his dog 30 minutes ago and he also feels lightheaded. He denies any chest pain, syncope or dyspnoea and states that the symptoms have not worsened or changed in the last 30 minutes. An urgent ECG is carried out which is seen below:

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Given the likely diagnosis, what is the most appropriate management?
a