My Head Hurts Already

Dealer: South
Vuln: Game All
Scoring: IMPs

  1. spade5
  2. heartQ 10 2
  3. diamondA K J 9 7
  4. clubA 10 9 7
Green square in centre

Contract: 4heart
Declarer: South
Lead: diamond6

  1. spade10 9 6 4
  2. heartA J 8 7 3
  3. diamondQ 8 2
  4. clubK
West North East South
Pass
Pass 1diamond Pass 1heart
Pass 2club Pass 3diamond
Pass 4heart End
There are several alternatives after winning the opening lead in dummy.
1) Take an immediate trump finesse
2) Play ace and another heart to limit the number of potential ruffs
3) Play a spade at trick two with the intention of breaking the defensive communications.

So what would have happened?
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