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ModerateCardiovascularAtrial fibrillationuk-plab-1

A 76-year-old man presents with palpitations and shortness of breath. ECG shows atrial fibrillation with a ventricular rate of 150 bpm. He is haemodynamically stable with blood pressure 130/78 mmHg and no chest pain. There is no history of heart failure or structural heart disease. What is the most appropriate initial management?

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