What is the first-line treatment for ventricular tachycardia?

Amiodarone is the drug of choice for the treatment of hemodynamically unstable VT that is refractory to other antiarrhythmic agents.5 Ara 2017

Anti-arrhythmic medications are the first-line therapy in emergency departments and CCUs, as discussed earlier. Amiodarone is most commonly used, along with lidocaine, and in some cases procainamide.3 Ağu 2018

Unstable patients with monomorphic VT should be immediately treated with synchronized direct current (DC) cardioversion , usually at a starting energy dose of 100 J (monophasic; comparable biphasic recommendations are not currently available). Unstable polymorphic VT is treated with immediate defibrillation.