58-year-old has been referred to the Emergency Department by EMS, he complaint of palpitation,dizziness and breathlessness. Diagnosis and treatment?
Ventricular fibrillation with ventricular tachycardia??
Answer #Antidromic_AVRT : 1- delta wave 2-P retrograd in lead ll 3-electrical Alternans 4- rate~240 5- wide QRS Tx: due to exit WPW procainamid is choice drug
