Diferencia entre revisiones de «Palpitations»
(Text replacement - "EKG" to "ECG") |
(Text replacement - "==Treatment==" to "==Management==") |
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| Línea 29: | Línea 29: | ||
*Consider cardiac monitoring if perisistent | *Consider cardiac monitoring if perisistent | ||
== | ==Management== | ||
*Etiology specific | *Etiology specific | ||
Revisión del 17:25 7 jul 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
Management
- Etiology specific
Disposition
- Etiology specific