43 year old previously healthy female presents to the ED with chest pain and palpitations. The symptoms continue despite oxygen and IV fluid therapy. BP is 80/60. diaphoretic, dizzy and unable to speak in full sentences. rapid palpable pulses. ECG shows narrow complex tachycardia at 180 bpm. No ST or T wave changes consistent with MI. no risk factors. how do you manage this patient?
this patient has unstable tachycardia and needs synchronized cardioversion.