Palpitations Flashcards
1
Q
Cardio Causes
A
- AD
- SVT
- VT
- HOCM
- Ventricular Ectopics
- Pacemaker failure
2
Q
Endocrine Causes
A
- Hypoglycaemia
- Hyperthyroid
- Phaechromocytoma
3
Q
Psychiatric Causes
A
- Generalised Anxiety Disorder
- Simple Anxiety
4
Q
Other
A
- Fever
- Excessive caffiene intake
5
Q
Beside Ix
A
ECG
- Arrythmia/long QT (torsades VT)
Urine dip
6
Q
Bloods
A
FBC (anaemia, WCC) TFTs (high) BM (diabetes, hypo) UEs (K+ causing arrhythmia) Mg and Ca (low = long QT: torsades)
7
Q
Imaging
A
ECHO
- HOCM
- Valve disease
CXR - rule out pneumonia
8
Q
Special Tests
A
24 hour tape for arrhythmia
9
Q
Fam Hx
A
- Cardiac death in the young
- IHD, CVD
- Diabetes
- Autoimmune e.g. thyroid
10
Q
RED FLAGS
A
- Young, fam hx of sudden death
- Cardiac collapse (black out, no warning)
- LOC/SOB on extertion
11
Q
Social Hx
A
- Smoking
- Alcohol
- Recreational drug use (ecstasy, cocaine)
- Diet, caffiene intake
12
Q
System R/v
A
- Chest pain, SOB
- LOC/collapse
- Thyroid: heat, bowels, skin
13
Q
PMHx
A
- Recent infection (AF)
- Previous episodes (SVT)
- Pacemaker
- Mood/prev mental health
14
Q
Drug Hx
A
- Hypoglycaemics
- BP meds
- CVD meds
