The initial step in management of all patients with
tachycardia is to evaluate for hemodynamic instability:
Is the patient experiencing signs and symptomsrelated to the rapid heart rate?
Hypotension, dyspnea, decreased level ofconsciousness, chest pain, shock
If hemodynamicallyunstable, often no time forECG and thorough evaluation
If stable, 12-lead ECG can be used to differentiate
2M C Alraies