Palpitation classification
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Akash Daswaney, M.B.B.S[2]
Overview
Palpitations may be classified based on cause, duration, rhythm and clinical presentation.
Classification
- Based on cause, palpitations may be classified as : [1]
- Cardiac -Arrhythmia related
- Cardiac – Not Related to Arrhythmia
- Pharmacological
- Psychiatric
- Systemic Causes
- Based on clinical presentation, palpitations may be classified as:
- Extrasystolic
- Tachycardic
- Anxiety-related
- Intense[2]
- Based on duration, palpitation may be classified as :
- Based on rhythm, palpitation may be classified as :
- Extrasystolic palpitation is often described as missed beats which are sudden in onset and occur at rest.
- Tachycardiac palpitation are often described as a fluttering sensation in the chest which is sudden in onset.
- Tachycardic palpitation include ventricular tachycardias, AV re-entry tachycardia, AN Nodal re-entry tachycardia, atrial fibrillation, atrial tachycardias and atrial flutter.
- It is associated with a regular or irregular increase in heart rate and symptoms such as syncope, chest pain, breathlessness and neck pulsations.
- Anxiety related palpitation as the name suggest are mostly seen in individuals with generalized anxiety disorder and are gradual in onset.
- It is associated with an increase in heart rate and symptoms such as a ‘lump-like’ sensation in the throat and tingling sensations in the hands and face.
- Patients experiencing a pulsation type of palpitation often feel like their heart is pounding.
References
- ↑ "StatPearls". 2020. PMID 28613787.
- ↑ Raviele A, Giada F, Bergfeldt L, Blanc JJ, Blomstrom-Lundqvist C, Mont L; et al. (2011). "Management of patients with palpitations: a position paper from the European Heart Rhythm Association". Europace. 13 (7): 920–34. doi:10.1093/europace/eur130. PMID 21697315.