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Related Concept Videos

Pulse rhythm01:30

Pulse rhythm

Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac muscle...
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...
Increased pulse rate01:17

Increased pulse rate

Tachycardia is a condition marked by an abnormally fast or irregular heart rate, surpassing the typical resting rate. In adults, tachycardia is characterized by a pulse rate ranging from 100 to 180 beats per minute. The increased heart rate can result in inadequate blood flow to various body parts, ultimately diminishing the oxygen supply to organs and tissues.
Many factors can elevate the risk of developing tachycardia. These include advanced age, a family history of arrhythmias, and an...
Dysrhythmias VI: Management of Dysrhythmias01:25

Dysrhythmias VI: Management of Dysrhythmias

Dysrhythmia management involves a multifaceted approach, incorporating pharmacological treatments, medical procedures, surgical interventions, lifestyle modifications, and patient education.Pharmacological ManagementAntiarrhythmic Drugs:Class I (Sodium Channel Blockers): This class includes quinidine and procainamide, which reduce the speed of impulse conduction in the heart, stabilize the cardiac membrane, and control arrhythmias. Quinidine and procainamide are Class IA agents that prolong the...
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...
Decreased pulse rate01:14

Decreased pulse rate

Bradycardia is a medical condition in which the heart rate is slower than normal. It occurs when the heart's natural pacemaker, the sinus node, generates slower electrical impulses than the standard rhythm. In adults, bradycardia is diagnosed when the pulse rate falls below 60 beats per minute, indicating a deviation from the normal heart rate range.
There are specific risk factors that can elevate the likelihood of developing bradycardia. Advanced age is a significant factor, with bradycardia...

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Related Experiment Video

Updated: May 31, 2026

Primary Outcome Assessment in a Pig Model of Acute Myocardial Infarction
14:19

Primary Outcome Assessment in a Pig Model of Acute Myocardial Infarction

Published on: October 14, 2016

Outpatient approach to palpitations.

Randell K Wexler1, Adam Pleister, Subha Raman

  • 1The Ohio State University, Columbus, USA. randy.wexler@osumc.edu

American Family Physician
|July 20, 2011
PubMed
Summary

Palpitations often stem from cardiac issues, not just anxiety. Accurate diagnosis through history, exam, and tests like ECG is crucial to identify heart conditions and prevent sudden death.

Area of Science:

  • Cardiology
  • Family Medicine
  • Psychiatry

Background:

  • Palpitations are a frequent complaint in family medicine.
  • While often cardiac in origin, psychiatric disorders like anxiety can also cause palpitations.
  • It is crucial not to dismiss cardiac causes even with co-existing psychiatric conditions.

Purpose of the Study:

  • To emphasize the importance of distinguishing cardiac from noncardiac causes of palpitations.
  • To highlight the potential risk of sudden death associated with cardiac etiologies.
  • To guide diagnostic approaches for evaluating palpitations.

Main Methods:

  • Comprehensive patient history and physical examination.
  • Targeted diagnostic testing, including standard 12-lead electrocardiography (ECG).

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Last Updated: May 31, 2026

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  • Cardiac imaging and intermittent event (loop) monitoring when indicated.

    • Main Results:

    • Premature ventricular and atrial contractions are common cardiac causes.
    • Atrial fibrillation is a frequent cause of hospitalization, increasing stroke risk.
    • Specific arrhythmias like supraventricular tachycardia and ventricular tachycardia require specialist referral.

    Conclusions:

    • Distinguishing cardiac from noncardiac palpitations is vital for patient risk stratification.
    • Systematic evaluation including ECG and potentially cardiac imaging or loop monitoring is essential.
    • Referral to a cardiologist is necessary for patients with concerning arrhythmias or syncope.