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BO- This is getting interesting. I still say AF. The key for me is the irregular HR. VT is regular. Also, age and patient history and presenting symptoms.
Why lidocaine in a patient that is already hypotensive? Aren't you risking BP crash?
(I just have a bias against drugs in cardiac cases unless we are in a primary care facility and have the drugs and other support apparatus available to correct a mistake. Don't like to do anything that I can't also correct if wrong)
Epi & dopamine seem very risky in this patient too. Are you looking for BP elevation. I am concerned about emboli in the brain. Wouldn't Epi or dopamine exacerbate this problem? IMO these are too risky unless you are thinking renal failure? Don't think we are there yet. But maybe I'm just being too conservative.
Really interesting case.
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