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Procainamide is effective in slowing the conduction in the atria, ventricles and Bundle of HIS purkinje system. Procainamide has been effective for the treatment of supraventricular tachycardia that returns after vagal maneuvers and adenosine were ineffective. It helps treat stable wide complex tachycardia of uncertain origin, stable monomorphic Ventricular tachycardia with normal QT interval, atrial fibrillation with a rapid ventricular rate response in patients with Wolff-Parkinson-White (WPW) syndrome and recurrent Ventricular Fibrillation or pulseless V Tach. The use of Procainamide is limited in ACLS for cardiac arrest due to its requirement of slow infusion and somewhat unknown effectiveness.