Palpitations

In this episode, Dr Niall Foley discusses Palpitations and what the patient often means when they use the term.

Topics

Intro.
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Palpitations defined.
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The reassuring conversation.
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History and underlying heart disease.
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Symptoms or no symptoms?
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Physical examinations.
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History taking.
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Assessing an ECG and important abnormalities.
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Monitoring before reassurance?
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Management approach.
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Approach for symptomatic non-sinister palpitations.
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What's your first line anti-hypertensive?
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Evidencing Paroxysmal AF and starting therapy.
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AF management going forward.
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Which patients to refer to secondary care.
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Take-home messages.
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Take home messages

The vast majority of palpitations are benign.
The most common reasons seen are Sinus tachycardia or ectopic.
Don't underestimate the value of reassurance and exercise.
For people with an interest, devices (such as Kardia and Apple Watch) can play a role in obtaining a diagnosis.

Presenter

Niall Foley

Consultant Cardiologist

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Originally from Ireland, Niall completed his medical degree at University College Dublin and now works as a consultant cardiologist across both public and private practice in Nelson. He completed his fellowship training in electrophysiology and cardiac devices. Alongside being a passionate teacher, he has a strong interest in cardiac pacing and complex cardiac devices, including conduction system pacing and leadless pacing.