Does response to adenosine rule out ventricular tachycardia?

ECG Weekly Workout with Dr. Amal Mattu


A 54-year-old man with no PMHx presents to the ED with palpitations. He is noted to be tachycardic but is stable with a normal blood pressure. The following ECG is obtained:

Before watching this week’s video, ask yourself these questions:

  1. What ECG abnormalities do you notice and what is the diagnosis?
  2. What is the best initial treatment?
  3. The patient is given Adenosine and converts to a normal sinus rhythm, how would you disposition the patient?