60 years old female patient. k/c/ o HTN. Dyslipidemia since last 12 years. CVA 12 years back. ECG shows Atrial Fibrillation with Heart rate 77 under Metoprolol (100mg).
The patient is asymptomatic but occasional palpitation. Echo normal systolic function. LVEF 65%. What could be a long time therapeutic advice?
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