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Related Concept Videos

Cardiovascular System Abnormal Findings I: Inspection and Palpation01:29

Cardiovascular System Abnormal Findings I: Inspection and Palpation

In a cardiovascular examination, inspection and palpation are crucial for identifying abnormalities.
Abnormal findings observed during an inspection
Dysrhythmias II: Classification of Tachyarrhythmias01:28

Dysrhythmias II: Classification of Tachyarrhythmias

Tachyarrhythmias are a type of dysrhythmia where the heart rate exceeds 100 beats per minute. Here are some common types of tachyarrhythmias:Sinus TachycardiaSinus tachycardia originates from increased impulses from the sinus node, leading to an elevated heart rate. It is often triggered by stress, fever, or exercise.Patients may experience palpitations, a sensation of a racing heart, dizziness, and chest discomfort.Causes and Risk Factors: Common causes include physical exertion, emotional...
Pulse01:16

Pulse

When the heart pumps blood out, arterial elastic fibers play a crucial role in sustaining a high-pressure gradient. They expand to accommodate the received blood and then recoil - a process known as the pulse that can be either manually palpated or electronically quantified. Despite a reduction in its effect with increased distance from the heart, elements of the pulse's systolic and diastolic components persist, observable even at the arteriole level.
The pulse serves as a clinical indicator...
Pulse01:05

Pulse

The pulse is one of the most fundamental physiological indicators of the body's cardiovascular health. It is the rhythmic expansion and contraction of the arterial walls in response to the pressure generated by the heart's pumping action.
Pulse Rate and its Significance
Pulse rate, often measured in beats per minute (bpm), reflects the heart rate (HR), which is influenced by numerous factors such as stress, physical activity, and hormonal changes. A normal resting adult pulse rate falls between...
Assessment of the Cardiovascular System III: Palpation01:27

Assessment of the Cardiovascular System III: Palpation

Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above the...
Dysrhythmias VII: Nursing Management of Dysrhythmias01:25

Dysrhythmias VII: Nursing Management of Dysrhythmias

Nursing management of dysrhythmias involves the following:AssessmentSubjective Assessment:The initial step involves gathering patient-reported symptoms such as dizziness, palpitations, and chest discomfort. It is crucial to collect a detailed history, including previous heart conditions, current medication use, and lifestyle factors like caffeine and alcohol consumption.Objective Assessment:This involves observing clinical signs such as jugular venous distention, cool and pale skin, and...

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Real-Time Electrocardiogram Monitoring During Treadmill Training in Mice
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Palpitations in athletes.

Christine E Lawless1, William Briner

  • 1The Ohio State University Medical Center, Columbus, Ohio, USA. christine.lawless@yahoo.com

Sports Medicine (Auckland, N.Z.)
|July 16, 2008
PubMed
Summary
This summary is machine-generated.

Palpitations in athletes vary widely, being rare in young athletes but common in endurance athletes. Diagnosis relies on monitoring devices and cardiac testing, with treatment options like radiofrequency ablation available for specific rhythms.

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Area of Science:

  • Cardiology
  • Sports Medicine
  • Exercise Physiology

Background:

  • Palpitations, or awareness of abnormal heartbeats, have a wide incidence (0.3%–70%) in athletes, varying by age and sport.
  • While often benign, prognosis depends on the specific rhythm disturbance and underlying heart disease.
  • Atrial fibrillation and premature ventricular contractions (PVCs) are significant in athletes, with high PVC burden (>2000/24 hours) suggesting underlying heart disease.

Purpose of the Study:

  • To review the diagnosis and management of palpitations in athletes.
  • To highlight the importance of appropriate monitoring device selection for accurate diagnosis.
  • To discuss the implications for athlete return to sport after treatment.

Main Methods:

  • Review of current literature on palpitations in athletic populations.
  • Discussion of diagnostic tools including Holter monitoring, other devices, and advanced cardiac testing (echocardiography, MRI, etc.).
  • Analysis of pre-participation screening recommendations and their limitations.

Main Results:

  • Palpitations are more common in older endurance athletes than school-age athletes.
  • Choice of monitoring device is critical for diagnosis, tailored to symptom frequency.
  • Radiofrequency ablation is effective for certain rhythms, allowing return to sport if no high-risk heart disease is present.

Conclusions:

  • Palpitations in athletes require careful evaluation, with monitoring device choice being paramount for diagnosis.
  • Athletes with malignant ventricular rhythm disturbances or defibrillators are generally advised against returning to sport due to safety concerns.
  • Further prospective studies are needed to validate assumptions about resting palpitations in athletes.