A 65 year old man on aspirin, statins and beta-blockers for chronic stable angina develops chest pain for past 4 hours. He becomes unconscious, unresponsive while talking to the doctor on duty in the casualty. ECG was done. What is the best step for management of this patient?: (A) Non Synchronous DC shock, (B) Chest compressions, (C) IV amiodarone, (D) Synchronous DC shock
Answer is A. Monomorphic Ventricular Tachycardia ECG shows HR of 300/min with broad complex tachycardia. Broad complex QRS have same amplitude. In acute setting DC shock 200 J Biphasic should be given. In case of Hypotension, impaired consciousness or pulmonary edema--> Nonsynchronous DC shock should be given.