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question...2 - usmle19
#1
Tx of AF with WPW synd...

A.adenosine
B.Digoxin
C.verapamil
D.procainamide

plz explain as well.....thnk u ....!
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#2
D........shud not use rate control agents (AV node blockers) in Afib with WPW (it may be wide complex A Fib) as accessory pathway wud not be blocked and cud make the patient go into V Fib..... death

use Class 1 A antiarrhythmics acutely.........Procainamide doc...other drugs that can be used for maintenance.........Amiodarone, Disopyramide also options for chronic.........if unstable DC cardioversion

definite rx........ablation using radiofreq catheter
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