Palpitation classification: Difference between revisions
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==Overview== | ==Overview== | ||
Palpitations may be classified based on cause, | Palpitations may be classified based on cause, duration, rhythm and clinical presentation. | ||
==Classification== | ==Classification== | ||
*Based on '''cause''', palpitations may be classified as : | *Based on '''cause''', palpitations may be classified as : <ref name="pmid28613787">{{cite journal| author=| title=StatPearls | journal= | year= 2020 | volume= | issue= | pages= | pmid=28613787 | doi= | pmc= | url= }} </ref> | ||
*#Cardiac -Arrhythmia related | *#Cardiac -Arrhythmia related | ||
*#Cardiac – Not Related to Arrhythmia | *#Cardiac – Not Related to Arrhythmia | ||
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*#Tachycardic | *#Tachycardic | ||
*#Anxiety-related | *#Anxiety-related | ||
*#Intense | *#Intense<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> | ||
*Based on '''duration''', palpitations may be classified as : | *Based on '''duration''', palpitations may be classified as : | ||
*#Persistent or sustained | *#Persistent or sustained | ||
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[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Needs overview]] | [[Category:Needs overview]] | ||
Revision as of 14:02, 13 August 2020
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Palpitation Microchapters |
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Palpitation classification On the Web |
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Risk calculators and risk factors for Palpitation classification |
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, palpitations may be classified as :
- Persistent or sustained
- Poorly sustained/ short lasting
- Based on rhythm, palpitations may be classified as :
- Regular
- Irregular
- Extrasystolic palpitations are often described as missed beats which are sudden in onset and occur at rest.
- Tachycardiac palpitations are often described as a fluttering sensation in the chest which is sudden in onset.
- Tachycardic palpitations 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 palpitations 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 throat and tingling sensations in the hands and face.
- Patients experiencing a pulsation type of palpitations often feel like their heart is pounding.
- This sensation is gradual in onset, triggered by exertion and may be associated with asthenia.
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.