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EasyCardiologyAcute atrial fibrillation rate controlca-mccqe1ca-rcpsc-em

A 36-year-old man presents to the emergency department 90 minutes after sudden onset of palpitations. ECG shows atrial fibrillation with rapid ventricular response at 140 beats per minute. Blood pressure is 124/76 mm Hg, oxygen saturation 99 percent, and he has no chest pain or heart failure signs. Which is the most appropriate initial management?

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