Palpitations: Difference between revisions
(Reverted edits by ClaireLewis (talk) to last revision by Rossdonaldson1) |
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==Disposition== | ==Disposition== | ||
*Etiology specific | *Etiology specific. | ||
*Consideration for Holter monitoring (or similar) with outpatient provider. | |||
==See Also== | ==See Also== |
Revision as of 06:23, 19 October 2017
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
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.