A 65 year old man on aspirin, statins and beta-blockers for chronic stable angina develops chest pain for past 4 hours. He becomes unconscious, unresponsive while talking to the doctor on duty in the casualty. ECG was done. What is the best step for management of this patient?

Monomorphic Ventricular Tachycardia ECG shows HR of 300/min with broad complex tachycardia. Broad complex QRS have same amplitude. In acute setting DC shock 200 J Biphasic should be given. In case of Hypotension, impaired consciousness or pulmonary edema--> Nonsynchronous DC shock should be given.