A 58-year-old man with a history of anterior wall MI 6 months ago presents to the emergency department with palpitations and syncope. His blood pressure is 88/56 mmHg, heart rate 160/min, and ECG shows a wide complex tachycardia with AV dissociation. He is conscious but drowsy. What is the most appropriate immediate next step in management?

See the options, answer & explanation

Sign in free to reveal the answer choices, the correct answer, the detailed explanation, and AI-powered insights for this question.