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EasyCardiologyAtrial fibrillation acute managementau-amcau-acem

A 50-year-old man presents with sudden onset palpitations and mild shortness of breath for 3 hours. He has no past cardiac history, is haemodynamically stable, and ECG shows atrial fibrillation with a ventricular rate of 140 beats/min. There is no heart failure or ischaemia. What is the most appropriate initial management strategy in the emergency department?

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