Focal atrial tachycardia (AT) presenting without haemodynamic instability allows for a controlled, pharmacological first-line approach. The clinical priority is prompt termination of the arrhythmia.
The patient has focal atrial tachycardia — an organised atrial rhythm at an elevated rate initiated from a discrete atrial origin and spreading over both atria in a centrifugal pattern — in the absence of haemodynamic compromise. Haemodynamic stability is the defining feature that guides the management strategy here.
Acute pharmacological conversion is the cornerstone of first-line management in this setting. A specific intravenous agent is recommended for consideration — the full protocol details the agent, its administration, and the complete management algorithm.
Termination of the atrial tachycardia.