Palpitations: Difference between revisions
| Line 1: | Line 1: | ||
==Background== | ==Background== | ||
*Sensation of rapid or irregular heart rate | |||
===Red flags=== | ===Red flags=== | ||
*Cardiac disease | *Cardiac disease | ||
*Known | *Known ECG abnormality | ||
*[[Syncope]]/pre-syncope | *[[Syncope]]/pre-syncope | ||
*Exertional palpitations | *Exertional palpitations | ||
Revision as of 15:39, 9 March 2019
Background
- Sensation of rapid or irregular heart rate
Red flags
- Cardiac disease
- Known 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
Evaluation
Work-Up
Evaluation
- Thyroid exam
- Careful cardiac exam for murmurs
- Consider cardiac monitoring if perisistent
Management
- Etiology specific
Disposition
- Etiology specific.
- Consideration for Holter monitoring (or similar) with outpatient provider.