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ModerateCardiovascularAtrial fibrillationuk-plab-1

A 68-year-old man presents with palpitations and mild breathlessness. His ECG shows atrial fibrillation with a ventricular rate of 140 beats/min. He is haemodynamically stable with a blood pressure of 130/80 mmHg and no chest pain or heart failure signs. Symptoms began 36 hours ago. What is the most appropriate initial management strategy?

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