Abstract
Palpitations, or the sensation of a rapid or heavy heartbeat, are a common symptom in both primary and secondary care settings. Here we use a common presentation of palpitations to explore the best ways to assess and treat patients who present in this way. We hope that by using a structured approach to our assessment we will reduce the use of the ‘scattergun’ approach to diagnosis, thus preventing unnecessary investigation and hospital stay.
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References
- Hoefman E, Boer KR, van Weert HC, et al. Continuous event recorders did not affect anxiety or quality of life in patients with palpitations. J Clin Epidemiol 2007; 60: 1060–66.
- Hoefman E, van Weert HC, Reitsma JB, et al. Diagnostic yield of patient-activated loop recorders for detecting heart rhythm abnormalities in general practice: a randomised clinical trial 2005; 2(5): 478–84.
- Weber,B.E., Kapoor, W.N. Evaluation and outcomes of patients with palpitations 1996; Am J Med 100: 138–48.
- Mayou RA, Sprigings D, Birkhead J, et al. Characteristics of patients resenting to a cardiac clinic with palpitation 2003; 96: 115–23.
- Abbott, A.V. Diagnostic Approach to Palpitations 2005; Am Fam Physician 71(4): 743–50.
- Manchester Heart Guidelines by Adam P Fitzpatrick, Manchester Heart Centre.
- Giada, F, Gulizia, M, Francese M, et al. Recurrent unexplained palpitations (RUP) study comparison of implantable loop device recorder versus conventional diagnostic strategy. 2007; J Am Coll Cardiol 49(19): 1951–56.
- Brugada P, Gursoy S, Brugada J, et al. Investigation of palpitations. Lancet. 1993; 341: 1254–58.
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