Palpitation differential diagnosis: Difference between revisions

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*Palpitation in itself is not a condition but a symptom reflective of an underlying condition.  
*Palpitation in itself is not a condition but a symptom reflective of an underlying condition.  
*When coming up with a differential diagnoses, it would be useful to link positive history,physical examination and ECG findings to any of the following 5 categories ;  
*When coming up with a differential diagnoses, it would be useful to link positive history,physical examination and ECG findings to any of the following 5 categories ;  
*# Cardiac (Arrythmia Related)
*# Cardiac (arrhythmia Related)
*# Cardiac (Not related to Arrythmias)
*# Cardiac (Not related to arrhythmia)
*# Systemic Causes (Non Cardiac)
*# Systemic causes (Non cardiac)
*#Pharmacological Causes
*#Pharmacological causes
*#Psychiatric Causes <ref name="pmid28613787">{{cite journal| author=| title=StatPearls | journal= | year= 2020 | volume=  | issue=  | pages=  | pmid=28613787 | doi= | pmc= | url= }} </ref><ref name="pmid15742913">{{cite journal| author=Abbott AV| title=Diagnostic approach to palpitations. | journal=Am Fam Physician | year= 2005 | volume= 71 | issue= 4 | pages= 743-50 | pmid=15742913 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15742913  }} </ref><ref name="pmid21697315">{{cite journal| author=Raviele A, Giada F, Bergfeldt L, Blanc JJ, Blomstrom-Lundqvist C, Mont L | display-authors=etal| title=Management of patients with palpitations: a position paper from the European Heart Rhythm Association. | journal=Europace | year= 2011 | volume= 13 | issue= 7 | pages= 920-34 | pmid=21697315 | doi=10.1093/europace/eur130 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21697315  }} </ref><ref name="pmid21766757">{{cite journal| author=Wexler RK, Pleister A, Raman S| title=Outpatient approach to palpitations. | journal=Am Fam Physician | year= 2011 | volume= 84 | issue= 1 | pages= 63-9 | pmid=21766757 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21766757  }} </ref><ref name="pmid29431371">{{cite journal| author=Wexler RK, Pleister A, Raman SV| title=Palpitations: Evaluation in the Primary Care Setting. | journal=Am Fam Physician | year= 2017 | volume= 96 | issue= 12 | pages= 784-789 | pmid=29431371 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29431371  }} </ref>
*#Psychiatric causes <ref name="pmid28613787">{{cite journal| author=| title=StatPearls | journal= | year= 2020 | volume=  | issue=  | pages=  | pmid=28613787 | doi= | pmc= | url= }} </ref><ref name="pmid15742913">{{cite journal| author=Abbott AV| title=Diagnostic approach to palpitations. | journal=Am Fam Physician | year= 2005 | volume= 71 | issue= 4 | pages= 743-50 | pmid=15742913 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15742913  }} </ref><ref name="pmid21697315">{{cite journal| author=Raviele A, Giada F, Bergfeldt L, Blanc JJ, Blomstrom-Lundqvist C, Mont L | display-authors=etal| title=Management of patients with palpitations: a position paper from the European Heart Rhythm Association. | journal=Europace | year= 2011 | volume= 13 | issue= 7 | pages= 920-34 | pmid=21697315 | doi=10.1093/europace/eur130 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21697315  }} </ref><ref name="pmid21766757">{{cite journal| author=Wexler RK, Pleister A, Raman S| title=Outpatient approach to palpitations. | journal=Am Fam Physician | year= 2011 | volume= 84 | issue= 1 | pages= 63-9 | pmid=21766757 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21766757  }} </ref><ref name="pmid29431371">{{cite journal| author=Wexler RK, Pleister A, Raman SV| title=Palpitations: Evaluation in the Primary Care Setting. | journal=Am Fam Physician | year= 2017 | volume= 96 | issue= 12 | pages= 784-789 | pmid=29431371 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29431371  }} </ref>




Revision as of 13:53, 7 August 2020

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Akash Daswaney, M.B.B.S[2]

Overview

When coming up with a differential diagnoses, it would be useful to link positive history,physical examination and ECG findings to cardiac (arrhythmia Related), cardiac (not related to arrhythmia), systemic causes (Non Cardiac), pharmacological causes and psychiatric causes.

Differentiating [Disease name] from other Diseases

  • Palpitation in itself is not a condition but a symptom reflective of an underlying condition.
  • When coming up with a differential diagnoses, it would be useful to link positive history,physical examination and ECG findings to any of the following 5 categories ;
    1. Cardiac (arrhythmia Related)
    2. Cardiac (Not related to arrhythmia)
    3. Systemic causes (Non cardiac)
    4. Pharmacological causes
    5. Psychiatric causes [1][2][3][4][5]


Cardiac (Arrhythmia related) Differentials Cardiac (Not Arrhythmia related) Differentials Systemic Non Cardiac Differentials Pharmacological Differentials Psychiatric Differentials
  • Premature ventricular contractions
  • Premature Atrial Contractions
  • Ventricular tachycardia
  • Ventricular fibrillation
  • Atrial fibrillation
  • Atrial flutter
  • Postural orthostatic tachycardia syndrome
  • Brugada syndrome
  • Sinus tachycardia
  • Paroxysmal supraventricular tachycardia
  • Tachycardia with variable block,
  • Wolff-Parkinson-White syndrome
  • Long QT syndrome
  • Polymorphic Ventricular Tachycardia
  • Bradycardia caused by advanced arteriovenous block
  • Bradycardia-tachycardia syndrome (sick sinus syndrome)
  • Multifocal atrial tachycardia
  • Pacemaker-mediated tachycardia
  • Catecholamine Sensitive Arrythmia
  • AV Re-entry tachycardia
  • AV Nodal Re-entry Tachycardia
  • Congenital heart disease
  • Cardiomegaly
  • Aortic aneurysm
  • Myocardial Ischemia
  • Mitral Valve Prolapse
  • Hypertrophic Obstructive Cardiomyopathy
  • Atrial Septal Defect
  • Congestive Heart Failure
  • Stenotic/ Regurgitant Valvular Heart Diseases
  • Cardiomyopathy
  • Pericarditis
  • Ventricular Septal Defect
  • Atrial Myxoma
  • Anemia
  • AV fistula
  • Paget's disease
  • Pregnancy
  • Thyrotoxicosis
  • Mastocytosis
  • Exercise
  • Electrolyte imbalance
  • Hypoglycemia
  • Hypovolemia
  • Pheochromocytoma
  • Pulmonary disease
  • Vasovagal syndrome
  • Obstructive Sleep Apnea
  • Food poisoning
  • Caffeine
  • Cocaine
  • Amphetamine
  • Digitalis,
  • Phenothiazine
  • Theophylline
  • Beta agonists
  • Alcohol
  • Tobacco
  • Stress
  • Anxiety disorder
  • Panic disorder
  • Somatization Disorder
  • Express Hypochondria type behavior
  • Depression

References

  1. ↑ "StatPearls". 2020. PMID 28613787.
  2. ↑ Abbott AV (2005). "Diagnostic approach to palpitations". Am Fam Physician. 71 (4): 743–50. PMID 15742913.
  3. ↑ 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.
  4. ↑ Wexler RK, Pleister A, Raman S (2011). "Outpatient approach to palpitations". Am Fam Physician. 84 (1): 63–9. PMID 21766757.
  5. ↑ Wexler RK, Pleister A, Raman SV (2017). "Palpitations: Evaluation in the Primary Care Setting". Am Fam Physician. 96 (12): 784–789. PMID 29431371.

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