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 and physical examination 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 (Arrythmia Related)
*# Cardiac (Not related to Arrythmias)
*# Cardiac (Not related to Arrythmias)
*# Systemic Causes (Non Cardiac)
*# Systemic Causes (Non Cardiac)

Revision as of 20:04, 5 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

[Disease name] must be differentiated from other diseases that cause [clinical feature 1], [clinical feature 2], and [clinical feature 3], such as [differential dx1], [differential dx2], and [differential dx3].

OR

[Disease name] must be differentiated from [[differential dx1], [differential dx2], and [differential dx3].

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 (Arrythmia Related)
    2. Cardiac (Not related to Arrythmias)
    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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