The ECG below is from a 46 year old lady who has presented to ED at 7pm after experiencing palpitations since 2am that day, but otherwise feels well.
She has 5 episodes of similar over the last 15 years but has never presented for investigation before. Her PMH includes asthma, sleep apnoea, oesophageal spasm, Von Willebrands disease and depression. She takes Salbutamol PRN as her only medication. She is also an ex-IVDU with last injected use 16 years ago. She continues to smoke Meth and last did so yesterday evening. She also regularly smokes THC.
Her observations are BP 119/76, RR 16, Sats 100% air, T 36.8.
On examination she has a clear chest, HS are normal with no murmurs and there are no peripheral stigmata of Infective Endocarditis.
This is her ECG:
Questions:
- Interpret her ECG
- Describe her management.