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MediumCardiologyAtrial Fibrillationukmlamrcp part 1panemrcg akt

A 78-year-old man with persistent atrial fibrillation (AF), hypertension, and stable heart failure with preserved ejection fraction presents with resting heart rate 108 bpm. He is haemodynamically stable and minimally symptomatic. What is the most appropriate first-line strategy for long-term management?

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