What is the initial treatment of hemodynamically unstable tachycardia in Wolff-Parkinson-White (WPW) syndrome?

Updated: Jan 08, 2017
  • Author: Christopher R Ellis, MD, FACC, FHRS; Chief Editor: Mikhael F El-Chami, MD  more...
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Answer

The initial treatment of choice for hemodynamically unstable tachycardia is direct-current synchronized electrical cardioversion, biphasic, as follows:

  • A level of 100 J (monophasic or lower biphasic) initially
  • If necessary, a second shock with higher energy (200 J or 360 J)

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