Journal article

Approach to palpitations

Alex JA McLellan, Jonathan M Kalman

AfP | ROYAL AUSTRALIAN COLLEGE GENERAL PRACTITIONERS | Published : 2019

Abstract

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

Grants

Funding Acknowledgements

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.