Consider anticoagulation: ■ Heparin • Warfarin for later synchronised DC shockt, if indicated

Poor perfusion and/or known structural heart disease?


Amiodarone: 300 mg i.v, over 1 h, may be repeated one if necessary or

Flecainide 100-150 mg i.v. over 30 mins and/or synchronised DC shock t, if indicated


Onset known to be


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