An Approach to Palpitations

An overview of the causes of palpitations, and the approach to diagnosis.
For more information on how to distinguish various arrhythmias from one another on ECG, or for info on congenital arrhythmogenic disorders, please check out my video series on ECG interpretation: • Mastering EKGs - A Cou...

[@StrongMed]

Although it's rare and often presents with more than just palpitations, pheochromocytoma is a notable disease that in retrospect I should have included in the palpitations framework.

[@derozerr4856]

You can ask the patient to tap on the desk as per the rhythm of his felt arrhythmia if arrhythmia is intermittent.

[@jensfbay1]

i love your videos! thank you for posting them. your explanations are clear and succint

[@drsunilbidawat9550]

AWESOME SIR .. YOUR WAY OF PRESENTATION IS FANTASTIC

[@vadymchesanovskyy3621]

Thank you, sir! Your videos are great!

[@darktomasen]

great video! really sorted this subject in my head!

[@omarmaamouri]

Really,thank you very much 🙏🏻🙏🏻🙏🏻

[@mahdikittaneh7844]

great job doc , keep going

[@gabrielsticks2829]

Thank you very much , really nice and helpful

[@sunving]

Thank you Dr Strong.

[@tobinachname8016]

Thank you, sir!

[@mohammedaliibrahim8607]

Great explanation!

[@drswetaruparel]

Very helpful !!! 👍

[@mengchanlife8063]

you are truly amaizng

[@cornelbacauanu1544]

Very good explanation . Thank you .

[@ghdsds]

Majestic

[@WhatsTherapy]

thanks

[@mainuddinalamshraban1024]

Thank you sir

[@Skalekul]

What about increased intra-abdominal pressure, gastrocardiac syndrome, interoceptive disorders, vasospasm, pituitary axis dysfunction...

[@derarzt4490]

6:16
My ppl object
Thank you a lot Dr ♥️👑♥️👑

[@sunving]

Thanks

[@Jack777dogsandsea]

Pheochromocytoma?

[@user-hl7xn2mr6w]

Great 🤝

[@judypeng4748]

I had panic attack 3 years ago, HR jump from 60 to 130, SOB, I thought I was going to die. I run out in middle of the exam, the professor said she thinks I had panic attack. This panic attack continued a few months. Terrible

[@mohammedabdulkadir2004]

Great presentation doc!
but i have quastion? For you
How about Lipid profile, Magnisium test,hgb& thiamine test?

[@StrongMed]

Hgb is part of the workup of unexplained sinus tachycardia - thanks for pointing out its omission!
If ECG or cardiac monitor were to show that the patient's palpitations were due to premature beats or a paroxysmal tachycardia, then checking a magnesium level would be appropriate.
I would not consider a lipid panel or thiamine level to be part of the routine workup of palpitations.

[@mohammedabdulkadir2004]

@@StrongMed thanks doctor for ur reply!
, But in my opinion a poor country like ETHIOPIA Magnisium difficency &beriberi are common so i Shall consider those test to rullout the causes of palpitation routinely .

[@TheCriticalCarePractitioner]

Good to see your face on camera Eric.

[@StrongMed]

Thanks Jonathan! Nice to hear from you! How's the website been doing?

[@TheCriticalCarePractitioner]

Coming along well thanks. Podcasts and my CZcams videos doing well too. Early days for CZcams but you were the inspiration.

[@bobsass2532]

Hello, I have tried many suggestions for PVC, but I am still suffering them for many years. Is there anything you can suggest that I may try? Or has anyone found the solution to PVC, as it is truly life altering and debilitating.

[@StrongMed]

I can't give specific, individualized medical advice on here, but if you live in a part of the world where you have access to electrophysiologists (cardiologists further specialized in the treatment of abnormal heart rhythms), a PVC ablation procedure is relatively straight-forward, and something that you could speak to your own physician about.

[@jacklondon295]

That is what a Holter is for.