Palpitation differential diagnosis: Difference between revisions
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==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. | 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. | *[[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 ; | *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 (arrhythmia Related) | *# [[Cardiac]] ([[arrhythmia]] Related) | ||
*# Cardiac (Not related to arrhythmia) | *# [[Cardiac]] (Not related to [[arrhythmia]]) | ||
*# Systemic causes (Non cardiac) | *# [[Systemic causes]] (Non [[cardiac]]) | ||
*#Pharmacological causes | *#[[Pharmacological]] causes | ||
*#Psychiatric causes <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> | *#[[Psychiatric causes]] <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> | ||
{| class="wikitable" | {| class="wikitable" | ||
|+ | |+ | ||
! Cardiac (Arrhythmia related) Differentials | ! [[Cardiac]] ([[Arrhythmia]] related) [[Differentials]] | ||
! Cardiac (Not Arrhythmia related) Differentials | ! [[Cardiac]] (Not [[Arrhythmia]] related) [[Differentials]] | ||
! Systemic Non Cardiac Differentials | ! [[Systemic]] Non [[Cardiac]] [[Differentials]] | ||
! Pharmacological Differentials | ! [[Pharmacological]] [[Differentials]] | ||
! Psychiatric Differentials | ! [[Psychiatric]] [[Differentials]] | ||
|- | |- | ||
| | | | ||
*Premature ventricular contractions | *[[Premature ventricular contractions]] | ||
*Premature Atrial Contractions | *[[Premature Atrial Contractions]] | ||
*Ventricular tachycardia | *[[Ventricular tachycardia]] | ||
*Ventricular fibrillation | *[[Ventricular fibrillation]] | ||
*Atrial fibrillation | *[[Atrial fibrillation]] | ||
*Atrial flutter | *[[Atrial flutter]] | ||
*Postural orthostatic tachycardia syndrome | *[[Postural orthostatic tachycardia syndrome]] | ||
*Brugada syndrome | *[[Brugada syndrome]] | ||
*Sinus tachycardia | *[[Sinus tachycardia]] | ||
*Paroxysmal supraventricular tachycardia | *[[Paroxysmal supraventricular tachycardia]] | ||
*Tachycardia with variable block, | *[[Tachycardia]] with variable block, | ||
*Wolff-Parkinson-White syndrome | *[[Wolff-Parkinson-White syndrome]] | ||
*Long QT syndrome | *[[Long QT syndrome]] | ||
*Polymorphic Ventricular Tachycardia | *[[Polymorphic Ventricular Tachycardia]] | ||
*Bradycardia caused by advanced arteriovenous block | *[[Bradycardia]] caused by advanced [[arteriovenous block]] | ||
*Bradycardia-tachycardia syndrome (sick sinus syndrome) | *[[Bradycardia-tachycardia syndrome]] ([[sick sinus syndrome]]) | ||
*Multifocal atrial tachycardia | *[[Multifocal atrial tachycardia]] | ||
*Pacemaker-mediated tachycardia | *[[Pacemaker-mediated tachycardia]] | ||
*Catecholamine Sensitive Arrythmia | *[[Catecholamine Sensitive Arrythmia]] | ||
*AV Re-entry tachycardia | *AV Re-entry [[tachycardia]] | ||
*AV Nodal Re-entry Tachycardia | *AV Nodal Re-entry [[Tachycardia]] | ||
| | | | ||
*Congenital heart disease | *[[Congenital heart disease]] | ||
*Cardiomegaly | *[[Cardiomegaly]] | ||
*Aortic aneurysm | *[[Aortic aneurysm]] | ||
*Myocardial Ischemia | *[[Myocardial Ischemia]] | ||
*Mitral Valve Prolapse | *[[Mitral Valve Prolapse]] | ||
*Hypertrophic Obstructive Cardiomyopathy | *[[Hypertrophic Obstructive Cardiomyopathy]] | ||
*Atrial Septal Defect | *[[Atrial Septal Defect]] | ||
*Congestive Heart Failure | *[[Congestive Heart Failure]] | ||
*Stenotic/ Regurgitant Valvular Heart Diseases | *[[Stenotic]]/ [[Regurgitant]] [[Valvular Heart Diseases]] | ||
*Cardiomyopathy | *[[Cardiomyopathy]] | ||
*Pericarditis | *[[Pericarditis]] | ||
*Ventricular Septal Defect | *[[Ventricular Septal Defect]] | ||
*Atrial Myxoma | *[[Atrial Myxoma]] | ||
*Anemia | *[[Anemia]] | ||
*AV fistula | *[[AV fistula]] | ||
*Paget's disease | *[[Paget's disease]] | ||
*Pregnancy | *[[Pregnancy]] | ||
| | | | ||
*Thyrotoxicosis | *[[Thyrotoxicosis]] | ||
*Mastocytosis | *[[Mastocytosis]] | ||
*Exercise | *[[Exercise]] | ||
*Electrolyte imbalance | *[[Electrolyte imbalance]] | ||
*Hypoglycemia | *[[Hypoglycemia]] | ||
*Hypovolemia | *[[Hypovolemia]] | ||
*Pheochromocytoma | *[[Pheochromocytoma]] | ||
*Pulmonary disease | *[[Pulmonary disease]] | ||
*Vasovagal syndrome | *[[Vasovagal syndrome]] | ||
*Obstructive Sleep Apnea | *[[Obstructive Sleep Apnea]] | ||
*Food poisoning | *[[Food poisoning]] | ||
| | | | ||
*Caffeine | *[[Caffeine]] | ||
*Cocaine | *[[Cocaine]] | ||
*Amphetamine | *[[Amphetamine]] | ||
*Digitalis, | *[[Digitalis]], | ||
*Phenothiazine | *[[Phenothiazine]] | ||
*Theophylline | *[[Theophylline]] | ||
*Beta agonists | *[[Beta agonists]] | ||
*Alcohol | *[[Alcohol]] | ||
*Tobacco | *[[Tobacco]] | ||
| | | | ||
*Stress | *[[Stress]] | ||
*Anxiety disorder | *[[Anxiety disorder]] | ||
*Panic disorder | *[[Panic disorder]] | ||
*Somatization Disorder | *[[Somatization Disorder]] | ||
*Express Hypochondria type behavior | *[[Express Hypochondria type behavior]] | ||
*Depression | *[[Depression]] | ||
|- | |- | ||
|} | |} | ||
Revision as of 19:39, 14 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
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 ;
- Cardiac (arrhythmia Related)
- Cardiac (Not related to arrhythmia)
- Systemic causes (Non cardiac)
- Pharmacological causes
- Psychiatric causes [1][2][3][4][5]
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.