approach to palpitations

palpitations-1

Palpitations can be caused by the cardio-respiratory systems (a primary arrhythmia or secondary to other causes), systemic causes and exposures.

A

B: CHEST: palpitation from hypoxia

  • Collapse
  • Hyperinflate: COPD (also associated MAT)
  • Effusion
  • Sick pneumonia
  • Tumour

C: CARDIOVASCULAR:

  • Cardiac arrhythmia: Heart rate (brady/tach) E (PR short/long, long QT) A R Tension (valvular) ST changes (PE, MI)
  • Around heart: pericarditis/myocarditis
  • RV strain: PE
  • Dysfunctional LV: MI
  • Incompetent valve
  • Outflow dissection
  • Volume depletion
  • Abdominal bleed
  • Soft tissue bleed
  • Child-bearing ectopic
  • Urticaria anaphylaxis
  • Lactate sepsis
  • Addisonian
  • Rx

D

E: ENDO

  • Electrolye: hypoglycemia
  • Normothermia: hyperthermia
  • Ormones: hyperthyroid, pheo

F

G

H: HEME

  • Hgb: ANEMIA

I: INTOX

  • Ingest: caffeine, etoh, marijuana, cocaine, ecstasy
  • N
  • Treatment: ventolin
  • O
  • X poison: carbon monoxide

J

 

Putting this together:

  • A
  • B: check oxygen, listen to lungs
  • C: check HR/BP, get ECG, do cardiac/abdo EDE, assess/treat cardiovascular conditions
  • D
  • E: check glucose/temp, consider hormones
  • F
  • G
  • H: check Hgb
  • I: asses exposures

palpitation

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s