Palpitations

Question 1

Sinus Tachycardia

Answer 1

Triggers causing fast normal rhythm

Question 2

Non-Sinus Arrhythmias

Answer 2

Ectopic Beats
Tachycardia
Bradycardia

Question 3

OPQRST-AP

Answer 3

Onset
- Sudden/Gradual
Provokers
- Stimulants/Activity
Quality
- Fast/Regular
Relivers
- Valsalva
Severity
- Limits activity
Timing
- How long/often
Associated Symptoms
- SOB, Syncope, Presyncop
Pertinent Negative
- Age, No risk factors

Question 4

Drugs causing QT-Prolongation

Answer 4

Anti-Arrhythmias
Antibiotics
Antipsychotics
Antidepressants
Anti-Emetics
Antifungals

Question 5

Risk Factors

Answer 5

• Heart Disease
• Age, Female
• Medications causing QT
• Electrolyte abnormalities
• Bradycardia
• Congenital predisposition

Question 6

Syncope

Answer 6

Sudden transient loss of consciousness
- Decrease blood flow to brain

Question 7

Presyncope

Answer 7

• Lightheaded
• Muscle weakness
• Feeling faint

May or may not precede syncope

Question 8

Lightheaded vs Dizziness

Answer 8

Lightheaded
- Feeling light in the head
- Feeling faint
- Often related to blood flow to brain
- Can be accompanied by weakness and nausea

Dizziness
- Movement or spinning