An Approach to Palpitations

[@StrongMed]

Although it's rare and often presents with more than just palpitations, pheochromocytoma is a notable disease that in retrospect I should have included in the palpitations framework.

[@derozerr4856]

You can ask the patient to tap on the desk as per the rhythm of his felt arrhythmia if arrhythmia is intermittent.

[@judypeng4748]

I had panic attack 3 years ago, HR jump from 60 to 130, SOB, I thought I was going to die. I run out in middle of the exam, the professor said she thinks I had panic attack. This panic attack continued a few months. Terrible

[@drsunilbidawat9550]

AWESOME SIR .. YOUR WAY OF PRESENTATION IS FANTASTIC

[@Jack777dogsandsea]

Pheochromocytoma?

[@jensfbay1]

i love your videos! thank you for posting them. your explanations are clear and succint

[@mahdikittaneh7844]

great job doc , keep going

[@Skalekul]

What about increased intra-abdominal pressure, gastrocardiac syndrome, interoceptive disorders, vasospasm, pituitary axis dysfunction...

[@bobsass2532]

Hello, I have tried many suggestions for PVC, but I am still suffering them for many years. Is there anything you can suggest that I may try? Or has anyone found the solution to PVC, as it is truly life altering and debilitating.

[@StrongMed]

I can't give specific, individualized medical advice on here, but if you live in a part of the world where you have access to electrophysiologists (cardiologists further specialized in the treatment of abnormal heart rhythms), a PVC ablation procedure is relatively straight-forward, and something that you could speak to your own physician about.

[@vadymchesanovskyy3621]

Thank you, sir! Your videos are great!

[@mohammedaliibrahim8607]

Great explanation!

[@mohammedabdulkadir2004]

Great presentation doc! but i have quastion? For you How about Lipid profile, Magnisium test,hgb& thiamine test?

[@StrongMed]

Hgb is part of the workup of unexplained sinus tachycardia - thanks for pointing out its omission! If ECG or cardiac monitor were to show that the patient's palpitations were due to premature beats or a paroxysmal tachycardia, then checking a magnesium level would be appropriate. I would not consider a lipid panel or thiamine level to be part of the routine workup of palpitations.

[@mohammedabdulkadir2004]

@@StrongMed thanks doctor for ur reply! , But in my opinion a poor country like ETHIOPIA Magnisium difficency &beriberi are common so i Shall consider those test to rullout the causes of palpitation routinely .

[@darktomasen]

great video! really sorted this subject in my head!

[@TheCriticalCarePractitioner]

Good to see your face on camera Eric.

[@StrongMed]

Thanks Jonathan! Nice to hear from you! How's the website been doing?

[@TheCriticalCarePractitioner]

Coming along well thanks. Podcasts and my KZbin videos doing well too. Early days for KZbin but you were the inspiration.

[@derarzt4490]

6:16 My ppl object Thank you a lot Dr ♥️👑♥️👑

[@sunving]

Thank you Dr Strong.

[@gabrielsticks2829]

Thank you very much , really nice and helpful

[@mengchanlife8063]

you are truly amaizng

[@mainuddinalamshraban1024]

Thank you sir

[@omarmaamouri]

Really,thank you very much 🙏🏻🙏🏻🙏🏻

[@Al-QassimMohammed]

Great 🤝

[@nocoadopta]

Majestic

[@tobinachname8016]

Thank you, sir!

[@sunving]

Thanks

[@drswetaruparel]

Very helpful !!! 👍

[@cornelbacauanu1544]

Very good explanation . Thank you .

[@jacklondon295]

That is what a Holter is for.

[@WhatsTherapy]

thanks