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4th May 2025

A 40-year-old female presents to ED with palpitations.

A 40-year-old female presents to ED with palpitations. She is otherwise fit and well. An ECG reveals a supraventricular tachycardia. Her heart rate is 155 bpm and a blood pressure of 160/90mmHg.

The ED doctor has already tried vagal manoeuvres to no effect. Adenosine 6mg and 12mg have also been given.

What is the next step in her management?

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

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