Determining the Cause

Chief Complaint: Palpitations

Pivotal Assessment Finding
History Family history of palpitations History of Chagas disease   Younger patients should be asked about consumption of “energy drinks.” Dual use of cigarettes and e-cigarettes may cause palpitations.  Palpitations associated with dyspepsia may indicate gastrocardiac syndrome (Roemheld syndrome).
- Stress, anxiety, or panic attacks, History of


  - Caffeine consumption[2][3]
- Nicotine use[2][3] - Strenuous exercise[2][4] - Alcohol consumption[2][3]
-
Certain stimulant drugs (e.g., cocaine, methamphetamine)[2][3 ]
- Diet pills[2][3]
EKG  

EKG Monitoring