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Approach to Palpitations, Task 3: What psychological and lifestyle factors…
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Task 3: What psychological and lifestyle factors can cause palpitations? Write differentiating features of each
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Symptoms: Fast or irregular heartbeat, especially during hangovers.
Differentiating feature : Palpitations often occur hours after alcohol intake or during recovery from a night of heavy drinking.
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Symptoms: Racing heart, chest tightness, shortness of breath, dizziness.
Differentiating feature: Sudden onset, often linked to stressful situations or panic attacks, and accompanied by psychological distress (e.g., fear, worry, or a panic attack)
Symptoms: Fast, forceful heartbeat.
Differentiating feature: Typically resolves after reducing caffeine intake and is linked directly to recent consumption.
Trigger: Consumption of coffee, energy drinks, or caffeine supplements.
Symptoms: Irregular or rapid heartbeats, sweating, pupil dilation, and behavioral changes.
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Trigger: Use of cocaine or other illicit substances (e.g., MDMA, methamphetamines).
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Symptoms: Increased heart rate, potentially felt as palpitations during or immediately after exercise.
Differentiating feature: Resolves after resting, linked directly to physical activity.
Trigger: Use of stimulants (e.g., ADHD medications, decongestants, asthma inhalers).
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Differentiating feature: Clearly linked to the use of specific medications and over-the-counter substances like herbal preparations and omega-3 supplements.
Symptoms: Rapid or irregular heartbeat, sometimes with dizziness or lightheadedness.
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Trigger: Smoking, vaping, or other nicotine-containing products.
8.Dehydration
Trigger: Insufficient fluid intake, excessive sweating, or illness (e.g., vomiting or diarrhea)
Symptoms: Rapid or strong heartbeat, often accompanied by dizziness, dry mouth, fatigue, and sometimes lightheadedness.
Differentiating feature: Clearly linked to dehydration symptoms and improves significantly with adequate fluid intake.
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Abbott AV. Diagnostic approach to palpitations. Am Fam Physician. 2005 Feb 15;71(4):743-50. PMID: 15742913.
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