Palpitations: Evaluation and management by primary care practitioners

South African Family Practice

Field Value
Title Palpitations: Evaluation and management by primary care practitioners
Creator Govender, Indiran Nashed, Kamelia K. Rangiah, Selvandran Okeke, Sunday Maphasha, Olga M.
Subject — palpitations; ECG; arrhythmia; chest pain; tachycardia
Description Palpitations are a common, non-specific presenting complaint in primary healthcare and emergency departments. Palpitations are mostly a symptom of benign underlying disease but a sign of life-threatening conditions. Importantly, palpitations are a symptom and not a diagnosis, and cardiac causes are the most concerning aetiology. Clinicians should seek to identify the underlying cause. History and physical examination are important in the assessment of patients with palpitations, and the use of a 12-lead electrographic (ECG) monitor on presentation is the gold standard of diagnosis. If the aetiology cannot be determined, an ambulatory Holter 24–48-h monitor can be used. Treatment and follow-up of patients presenting with palpitations as the main complaint will depend on the aetiology and investigation findings. Patients with palpitations accompanied by dizziness, excessive fatigue, or chest pains should receive adequate acute care aiming to stabilise their condition before referring to a higher level of care.
Publisher AOSIS
Date 2022-02-24
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/safp.v64i1.5449
Source South African Family Practice; Vol 64, No 1 (2022): Part 1; 8 pages 2078-6204 2078-6190
Language eng
Coverage — — —
Rights Copyright (c) 2022 Indiran Govender, Kamelia K. Nashed, Selvandran Rangiah, Sunday Okeke, Olga M. Maphasha