30yo/m came to er for palpitations otherwise asymptomatic. r | Figure 1

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30yo/m came to er for palpitations otherwise asymptomatic. received 6&12 adenosine in er no change. Pt came to floor on cardizem gtt hr 186 bp 105/80. Card d/c'ed gave 5mg lopressor iv push no change in hr. Bp dropped 82/57. Amio started. Bp dropped to 44/36 pt lost consciousness. 1 shock delivered pt converted to nsr bp 90/70 sent to icu. What is this rhythm?

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