A 57-year-old man presents to the Emergency Department with - TopicsExpress

A 57-year-old man presents to the Emergency Department with palpitations for the past 36 hours. He has no past history of note. There is no associated chest pain or shortness of breath. Clinical examination is unremarkable other than an irregular tachycardia. An ECG shows atrial fibrillation at a rate of 126 bpm with no other changes. What is the most appropriate management? A. Beta-blocker + warfarin B. Digoxin + aspirin C. Heparinise + cardioversion in the Emergency Department D. Beta-blocker + aspirin E. Warfarinise + transthoracic echo with elective electrical cardioversion in 4 weeks

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