Palpitation history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Debduti Mukhopadhyay, M.B.B.S[2] Cafer Zorkun, M.D., Ph.D. [3]
Overview
Many times, the person experiencing palpitations may not be aware of anything apart from the abnormal heart rhythm itself. But palpitations can be associated with other things such as tightness in the chest, shortness of breath, dizziness or lightheadedness. Depending on the type of rhythm problem, these symptoms may be just momentary or more prolonged. Actual blackouts or near blackouts, associated with palpitations, should be taken seriously because they often indicate the presence of important underlying heart disease.
History and Symptoms
Following history has to be elicited in a patient presenting with complaints of palpitations:
- Skipped or stopped beats
- Slow or fast heart beat
- Feeling of a racing, pounding, or fluttering
- Regular or irregular pattern
- Onset of palpitation
- Sudden or gradual
- Occurrence of palpitations
- With the change of body posture
- Lying down or resting
- With emotional changes
- With the change of body posture
- Associated symptoms like