Atrial fibrillation

58 years old woman arrived in the emergency department complaining of sudden onset of palpations, lightheadedness, and shortness of breath. These symptoms began approximately 2 hours previously. On examination, her blood pressure is 95/70 mmHg, and heart rate is 140 beats /min .An ECG demonstrates atrial fibrillation. The physical examination is otherwise unremarkable.

Explain why the patient has these symptoms and how medications could be useful in this setting?

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