Question category: Cardiology
A 72 year old gentleman with a history of ischaemic heart disease, has been unwell with diarrhoea and vomiting. He complains of intermittent palpitations and dizziness. He is brought to hospital and starts to complain of an episode and is found to have a broad complex tachycardia with the QRS complexes appearing to twist around the baseline. His blood pressure is 140/90 and GCS is 15. How would you manage this patient?