Supraventricular Tachycardia (SVT) — Hemodynamic Instability & Conversion

35-Year-Old Female — Sudden Palpitations, Heart Rate 218 bpm, Narrow-Complex Tachycardia

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A 35-year-old woman presents with sudden onset severe palpitations, dyspnea, and chest discomfort. Her HR is 218 bpm with narrow-complex tachycardia on monitor. Manage SVT with vagal maneuvers, adenosine, and critical decision-making about stability, conversion, and underlying cardiac disease.