A patient presents with the above rhythm complaining of an irregular heart beat. She has no other complaints. Past medical history is significant for an MI 7 years ago. BP is 110/70. At this time you would:
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administer lidocaine 1 mg/kg IV
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perform elective synchronized cardioversion with presedation
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administer nitroglycerine 0.4 mg sublinqual or spray
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continue monitoring and seek expert consultation
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perform emergency synchronized cardioversion
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