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We have read the case report of Patricia et al [1], titled ”Achieving ventricular rate control using metoprolol in beta-blocker naive patients versus patients on chronic beta-blocker therapy” with great interest. The authors reported that intravenous metoprolol for the treatment of atrial fibrillation with rapid ventricular rate was associated with a higher probability treatment response in patients considered β-blocker–naïve compared with patients receiving chronic β-blocker therapy.

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