Sudden Cardiac Death: Managing Periods of High Risk in Acute Coronary Syndromes
A 66 year old man with no prior medical history presented to the hospital with chest discomfort that began 3 hours prior to hospital presentation. In the field, EMS transmitted an ECG to the emergency department (Figure 1) that demonstrated ST-elevation in the anterior distribution. He had ventricular tachycardia en route that required defibrillation and a short course of cardiopulmonary resuscitation. Aspirin, intravenous heparin, clopidogrel and IV amiodarone was administered en route.
Based on the above information, the next step in care would be: