Palpitations: Difference between revisions
Ostermayer (talk | contribs) (Text replacement - "Category:Cards" to "Category:Cardiology") |
Ostermayer (talk | contribs) (Text replacement - "EKG" to "ECG") |
||
| Line 2: | Line 2: | ||
===Red flags=== | ===Red flags=== | ||
*Cardiac disease | *Cardiac disease | ||
*Known contributory | *Known contributory ECG abnormality | ||
*[[Syncope]]/pre-syncope | *[[Syncope]]/pre-syncope | ||
*Exertional palpitations | *Exertional palpitations | ||
Revision as of 17:18, 19 May 2016
Background
Red flags
- Cardiac disease
- Known contributory ECG abnormality
- Syncope/pre-syncope
- Exertional palpitations
- Hypotension or relative hypotension
- Heart failure symptoms
Clinical Features
- Sensation of rapid or irregular heart rate
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