27th February 2024

A 43 year old woman is admitted to hospital with 12 hours of palpitations and breathlessness.

A 43 year old woman is admitted to hospital with 12 hours of palpitations and breathlessness. On examination, she appears apyrexial with HR 150bpm, BP 130/85, RR 17 and sats 98% on RA. She has a past medical history of hypertension, hypercholesterolemia and hyperthyroidism. She takes 18 units of alcohol weekly and smokes 20 cigarettes per day.

An urgent ECG is obtained:

Select the single, most appropriate management.