Hemodynamically Unstable Wide Complex Tachycardia in a Young Woman
A 31-year-old woman was brought to the emergency room following an episode of near syncope preceded by palpitations. She was noted to have a wide-complex tachycardia (Figure 1), and was emergently cardioverted. The electrophysiology service was consulted for further management.
Lisinopril 10 mg once daily, Gemfibrozil 600 mg twice daily and Metformin 1000 mg twice daily.
Vital signs: Afebrile, HR 75/min, BP 126/65 mm Hg, RR 14/min
General-Alert, in no acute distress
Neck- No jugular venous distension
Extremities-no edema, normal pulses
Laboratory Values: (provide ranges)
Based on the clinical presentation, what is the next best step in this patient’s management?