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EasyEmergency MedicineHemodynamically Unstable Ventricular Tachycardiaus-abemus-usmle-step-2us-usmle-step-3

A 54-year-old man with a history of hypertension and hyperlipidemia presents to the emergency department with sudden-onset chest tightness and shortness of breath 30 minutes ago. ECG shows wide complex tachycardia at 180 beats per minute with regular rhythm and no discernible P waves. Blood pressure is 80/50 mm Hg, and he is diaphoretic. What is the most appropriate management?

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