A young female with Palpitations

A female aged 30 years Chief Complaints Palpitations Pain Chest Sweating (x 3 days) Vitals BP - 106/60 mmHg PR - 90/min

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ECG normal Palpitations may be difficult to diagnose, since often the symptoms are intermittent and may not be present when the patient presents for care. As with most medical conditions, the key to making the diagnosis lies in the history and physical examination. The health care professional may ask questions to understand the sensation felt by the patient: Are the palpitations an isolated extra or skipped beat or are there runs that can last for minutes or hours? What makes them come on? What makes them go away? What other symptoms might be present, including shortness of breath, chest pain, sweating, nausea and vomiting, lightheadedness, and syncope? Past medical history is important, including a history of heart or lung disease and prescribed medications. Knowing whether other medications or drugs are being used will be helpful. These include caffeine, over-the-counter medications, herbal medications, alcohol, and illegal drugs that may affect the heart (for example, cocaine, amphetamines, and others). Treatment:-Palpitations are treated depending upon the underlying cause of the abnormal heart rhythm, and is tailored to the specific patient's needs. Many causes of palpitations are self-limiting and lifestyle changes may help decrease their occurrence. These include deceasing or avoiding the use of caffeine, alcohol, and over-the-counter cold medications. As well, many herbal medications contain stimulants that may affect the heart's electrical conducting system. Smoking cessation is always appropriate. Depending upon the underlying cause of palpitations, medications may be prescribed to control the heart rate and rhythm. Other treatments may involve ablation or surgical techniques to remove the underlying cause of certain palpitations. Pacemakers and defibrillators may be indicated if life-threatening conditions are the cause of palpitations.

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IRBBB S.Tachy

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