A 55-year old man with a history of ischaemic heart disease presents to the Emergency Department with palpitations.. Persistent atrial fibrillation

A 55-year old man with a history of ischaemic heart disease presents to the Emergency Department with palpitations for the past 10 days. Examination of his pulse reveals a rate of 130 bpm which is irregularly irregular. He has had one previous episode of atrial fibrillation 3 months ago which was terminated by elective cardioversion following warfarinisation.
What term best describes his arrhythmia?
A.A Paroxysmal atrial fibrillation
B.A Atrial flutter
C.A Permanent atrial fibrillation
D.A Persistent atrial fibrillation***
E.A Secondary atrial fibrillation.
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