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ModerateCardiovascularAtrial fibrillation – rate controluk-plab-1

A 76-year-old man with a history of hypertension presents with palpitations and breathlessness. ECG shows atrial fibrillation with a ventricular rate of 150 beats/min. He is alert, blood pressure is 130/80 mmHg, oxygen saturation is 96% on air and there are no signs of heart failure or chest pain. What is the most appropriate initial rate-control strategy?

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