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Overveiw
Palpitations are one of the most common complains of patients when visiting a physician.[1][2] The causes of palpitations can range from benign (most common) to life-threatening conditions if not managed properly.[2] Palpitations are described differently by each patient, usually as an uncomfortable awareness of rapid, pounding heart beats, but also described as flip-flopping of the chest, rapid fluttering in the chest or pounding in the neck.[1][2] The diagnosis is made by a detailed history, physical examination and a surface 12-lead EKG. The management of palpitations consists in treating the underlying cause.
Causes
Life-threatening causes
- Acute coronary syndrome
- Malignant hypertension
- Myocardial infarction
- Third degree AV block
- Ventricular arrhythmia
Common causes
- ↑ 1.0 1.1 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.
- ↑ 2.0 2.1 2.2 Zimetbaum, P.; Josephson, ME. (1998). "Evaluation of patients with palpitations". N Engl J Med. 338 (19): 1369–73. doi:10.1056/NEJM199805073381907. PMID 9571258. Unknown parameter
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