A old aged male with Syncope

A male aged 70 years Chief Complaints Dizziness Palpitations Chest Pain (x 3 hrs) Vitals BP - NR PR - NR Management next step of management?

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Inf wall MI with broad QRS complex tachycardia. Pharmacological sos electric cardioversion is recommended.

Supraventricular tachycardia Inj adenosine Investigation lipid profile serum electrolyte t3 t4 tsh mri brain

WPW with VT Rule out IWMI by troponin Needs amiadarone iv bolus , followed by infusion maintenance. If not responding, electrical conversion . Needs Electrophysiological studies.

Monomorphic V.T Rx is Biphasic Synchronized Cardioversion because Hemodynamically pt is unstable