Diferencia entre revisiones de «Palpitations»
(Text replacement - "==Treatment==" to "==Management==") |
(Text replacement - "==Diagnosis==" to "==Evaluation==") |
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== | ==Evaluation== | ||
===Work-Up=== | ===Work-Up=== | ||
*CBC | *CBC | ||
Revisión del 18:43 24 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
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