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. | |
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 | |
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 | |
Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://safpj.co.za/index.php/safpj/article/view/5449/7235
https://safpj.co.za/index.php/safpj/article/view/5449/7236
https://safpj.co.za/index.php/safpj/article/view/5449/7237
https://safpj.co.za/index.php/safpj/article/view/5449/7238
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