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Palpitations - Coggle Diagram
Palpitations
Causes
Arrhythmia's
Supraventricular/ventricular extrasystoles
Tachycardia
AF
Structural heart disease
Mitral valve prolapse
Severe mitral or aortic regurgitation
mechanical prosthetic valves
Congenital heart disease with shunt
Cardiomegaly or hypertrophic cardiomyopathy
Heart failure
Psychosomatic disorders
Anxiety/ depression
Systemic causes
Hyperthyroidism
Hypoglycemia
Menopause
Anaemia
Fever
Pregnancy
Medication
Salbutamol
Withdrawal from beta-blockers
Cocaine
Nicotine
Caffeine
Alcohol
Management
Lifestyle advice - reducing stress/caffeine/alcohol./smoking/drugs
Driving advice
Assess for possible AF and manage appropriately
Medication depending on bloods and ECG
Assessment
Arrange urgent ECG at palpitations clinic
Referral to A&E if current palpitations/chest pain
Cardiovascular risk factors
Bloods
FBC
U's & E's
TFT
LFT
HbA1C