HISTORY:
Palpitations for
Type:
Heart rate:
Pattern:
Onset: ,
Episode duration:
Worsening factors:
Alleviating factors: ,
, ,
Other elements:
EXAM:
General appearance:
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Neck:
Heart: ,
Lungs: ,
Abdomen: , , ,
Extremities: , , cap refill , pulses ,
ASSESSMENT:
DDx:
PLAN:
- ECG
- Blood work: , , , , , ,
- Holter monitor
- Echocardiogram
- Stress test
- Chest X-ray
-
-
-
-
- Stress management techniques
- Good sleep hygiene
- Healthy diet
- Regular exercise
- Avoidance of caffeine, stimulants, and alcohol
- Referral to cardiologist
- Follow-up in
- Return if palpitations worsen or if new symptoms develop such as chest pain or shortness of breath
- Go to ER if severe chest pain, severe shortness of breath, or fainting occurs