Decided it was time to go to the ER within a few minutes, was admitted rather quickly and they tried modified valsalva,
metoprolol IV push
and that did not work, by BP was plummeting
and my heart rate all over the place. I had atrial fibrillation/SVT with a ventricular response and a HR above 200. They decided it was best to send me to a higher tier hospital via helicopter. There I was sent to maternity ward C-section ready, and they discussed the best approach.