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A patient has the following rhythm refractory to adenosine IV and verapamil IV. Before treatment, the heart rate was 200 beats/min and his blood pressure was 110/70 mm Hg. After treatment, the heart rate remains at 200 beats/minute and the blood pressure is 60 mm Hg systolic. What should the immediate treatment be?

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A patient has the following rhythm refractory to adenosine IV and verapamil IV. Before treatment, the heart rate was 200 beats/min and his blood pressure was 110/70 mm Hg. After treatment, the heart rate remains at 200 beats/minute and the blood pressure is 60 mm Hg systolic. What should the immediate treatment be?






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