Palpitation differential diagnosis: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
[[Image:Home_logo1.png|right|250px|link=https://www.wikidoc.org/index.php/ | [[Image:Home_logo1.png|right|250px|link=https://www.wikidoc.org/index.php/Palpitation]] | ||
{{CMG}}; {{AE}}{{ | {{CMG}}; {{AE}}{{Akash}} | ||
==Overview== | ==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== | ==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:<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> | |||
*# [[Cardiac]] ([[arrhythmia]] Related) | |||
*# [[Cardiac]] (Not related to [[arrhythmia]]) | |||
[ | *# [[Systemic causes]] (Non [[cardiac]]) | ||
*#[[Pharmacological]] [[causes]] | |||
*#[[Psychiatric]] [[causes]] | |||
{| class="wikitable" | |||
|+ | |||
! [[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== | ==References== | ||
| Line 179: | Line 101: | ||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Psychiatry]] | [[Category:Psychiatry]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
Latest revision as of 18:01, 19 January 2021
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][2][3][4][5]
- Cardiac (arrhythmia Related)
- Cardiac (Not related to arrhythmia)
- Systemic causes (Non cardiac)
- Pharmacological causes
- Psychiatric causes
References
- ↑ "StatPearls". 2020. PMID 28613787.
- ↑ Abbott AV (2005). "Diagnostic approach to palpitations". Am Fam Physician. 71 (4): 743–50. PMID 15742913.
- ↑ 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.
- ↑ Wexler RK, Pleister A, Raman S (2011). "Outpatient approach to palpitations". Am Fam Physician. 84 (1): 63–9. PMID 21766757.
- ↑ Wexler RK, Pleister A, Raman SV (2017). "Palpitations: Evaluation in the Primary Care Setting". Am Fam Physician. 96 (12): 784–789. PMID 29431371.