This week our patient is a 34yr old gentleman who presents to the ED with a 1 week history of chest pain and palpitations, his initial ECG is:

His potassium and magnesium are borderline low so you commence IV replacement while you wait for serial troponin results. While this is happening, you respond to a Met call on the patient. This is his rhythm strip:

What is the management for this patient and what is the disposition?