Palpitations Pathway - Suspected Significant Cardiac Arrhythmia
Referral to Cardiology OPD
The following will assist with grading of referral and the information is requisite to the referral being accepted.
Description of palpitations:
- estimate of rate, rhythm, and duration - ask patient to tap out on desk
- dizziness, shortness of breath, chest pain
Frequency - may facilitate direct referral for Holter monitoring:
- multiple episodes per day
- several times per week
- less than one weekly
- single episode only
The following indicate high risk of cardiac arrhythmia:
Patient history of heart disease:
- heart failure
- coronary arterial disease
- known arrhythmia
- valvular heart disease
Family history of premature sudden death:
- sudden cardiac death
- arrythmogenic right ventricular cardiomyopathy
- hypertrophic obstructive cardiomyopathy
Note on Family History:
- Cardiovascular assessment my be warranted of all first degree relatives where there is:
- unexplained sudden death >30
- all sudden death <30
List current medications
Other Medical History
Detail any relevant medical history
Detail all relevant findings - include specifically BP/ heart sounds / pulse and character
Advise any important social implications:
- It is mandatory for a medical practitioner to advise patient of legal driving restrictions.
- "NZTA regulations"
- Indicate if driving essential to employment.
- Indicate if at risk in present living arrangements.
Last updated : Thursday, September 10, 2015
Next review date : Friday, September 09,2016
Disclaimer: This site is intended to be flexible and frequently updated. While every effort has been made to ensure accuracy, all information should be verified.