Palpitations

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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

Evaluation

Work-Up

  • CBC
  • Chem
  • TSH
  • ECG
  • CXR
  • ?Trop
  • ?Mag

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.

See Also