Palpitations: Difference between revisions
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==Background== | ==Background== | ||
===Red flags=== | |||
*Cardiac disease | |||
*Known contributory EKG abnormality | |||
* | *[[Syncope]]/pre-syncope | ||
*Exertional palpitations | |||
* | *[[Hypotension]] or relative hypotension | ||
*Heart failure symptoms | |||
==Clinical Features== | |||
==Differential Diagnosis== | |||
{{Palpitations DDX}} | |||
==Diagnosis== | ==Diagnosis== | ||
===Work-Up=== | |||
==Work-Up== | |||
*CBC | *CBC | ||
*Chem | *Chem | ||
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*?Mag | *?Mag | ||
== | ===Evaluation=== | ||
*Thyroid exam | |||
*Careful cardiac exam for murmurs | |||
*Consider cardiac monitoring if perisistent | |||
==Treatment== | ==Treatment== | ||
Etiology specific | *Etiology specific | ||
==Disposition== | ==Disposition== | ||
Etiology specific | *Etiology specific | ||
==See Also== | ==See Also== | ||
Revision as of 01:49, 30 August 2015
Background
Red flags
- Cardiac disease
- Known contributory EKG abnormality
- Syncope/pre-syncope
- Exertional palpitations
- Hypotension or relative hypotension
- Heart failure symptoms
Clinical Features
Differential Diagnosis
Palpitations
- Arrhythmias:
- Non-arrhythmic cardiac causes:
- Psychiatric causes:
- Drugs and Medications:
- Alcohol
- Caffeine
- Drugs of abuse (e.g. cocaine)
- Medications (e.g. digoxin, theophylline)
- Tobacco
- Misc
Diagnosis
Work-Up
- CBC
- Chem
- TSH
- ECG
- CXR
- ?Trop
- ?Mag
Evaluation
- Thyroid exam
- Careful cardiac exam for murmurs
- Consider cardiac monitoring if perisistent
Treatment
- Etiology specific
Disposition
- Etiology specific