Practice question

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A 55-year-old woman presents with palpitations. Her ECG shows atrial fibrillation with a heart rate of 130 bpm. She is haemodynamically stable with a BP of 125/75 mmHg. Her CHA2DS2-VASc score is 3 (age, hypertension). According to NICE guidelines, what is the most appropriate initial management strategy for rate control while assessing for rhythm control suitability?

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