Approach to palpitations
Alex JA McLellan, Jonathan M Kalman
AfP | ROYAL AUSTRALIAN COLLEGE GENERAL PRACTITIONERS | Published : 2019
BACKGROUND: Palpitations are one of the most common presentations to general practice. While they are usually benign, they may be associated with an adverse prognosis. OBJECTIVE: This article presents a systematic approach to the patient with palpitations and addresses considerations of aetiology, history and examination; appropriate diagnostic work-up; cardiology/electrophysiology referral and management strategies. DISCUSSION: Not all palpitations are due to arrhythmia, and because of the transitory nature of palpitations, the work-up will usually be performed between episodes. Direction from history, examination and 12-lead electrocardiography will guide further investigations and will of..View full abstract
Dr McLellan is supported by an Australian National Heart Foundation postdoctoral fellowship. Professor Kalman is supported by a practitioner fellowship from the National Health and Medical Research Council. This research is supported in part by the Victorian Government's Operational Infrastructure.