Palpitations

Cannot miss / life threats
Cannot miss / life threats
Differential diagnosis β€” checklist
0/14

Check off each diagnosis as you consider it. Tap the name for unique exam, lab/imaging clues, first-line confirmatory test, and management.

Tachyarrhythmia0/4
Brady / pauses0/3
Non-cardiac0/7
Initial ED workup
Bedside0/2
  • 12-lead ECG during symptoms if possible
  • Continuous monitor
Labs0/5
  • BMP (K, Mg)
  • TSH
  • Troponin if chest pain or risk
  • Pregnancy test
  • Urine tox
Imaging0/1
  • Echo if structural concern
Initial management0/3
  • Vagal maneuvers / adenosine for stable SVT
  • Rate or rhythm control for AF per ACC/AHA
  • Synchronized cardioversion for unstable