Palpitations Pathway - Primary Care Management
- Reassure patient where there is ectopy with no sinister symptoms such as dizziness, dyspnoea, or chest pain.
- As ectopics often resolve spontaneously no action is needed in the short term.
- Consider empirical therapy with low dose beta blocker if ectopics persistent and symptommatic.
- Referral is rarely needed in the absence of ECG abnomalities or red flags.
- A rhythm strip may be useful, as an ectopy burden greater than 20% may indicate structural heart disease and prioritise the patient for an echo.
Where clinical assessment suggests possible association with stimulants, review after a stimulant free period of at least 3 weeks before referral.
Last updated : Friday, August 21, 2015
Next review date : Saturday, August 20,2016
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