6th March 2024

A 32 year old solicitor presents to ED complaining of palpitations without chest pain or shortness of breath.

A 32 year old solicitor presents to ED complaining of palpitations without chest pain or shortness of breath. Her ECG rate is 153 bpm with a QRS width of 135ms. The rhythm is irregular and there is a dominant S wave in V1. You also notice the presence of delta waves. Her blood pressure is 125/80 mmHg. How should she be managed?

Select the SINGLE most appropriate option from the list below. Select ONE option only.