Ventricular tachycardia Quiz: Ace Your Exams

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A 65-year-old man with a history of coronary artery disease and heart failure presents to the emergency department after a short episode of chest pain, palpitations, and lightheadedness. During the evaluation, his symptoms return and he becomes unresponsive. There is no pulse. His cardiac telemetry strip is shown below. What is the best next step in management?

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Magnesium sulfate administration

Defibrillation

Amiodarone administration

Synchronized cardioversion

Chest compressions