The teenager with palpitations.

Area of Science:

• Pediatric Cardiology
• Adolescent Health
• Cardiac Electrophysiology

Background:

• Palpitations in teenagers can stem from heightened awareness of heartbeats or abnormal heart rhythms.
• Most causes are benign and identifiable with basic diagnostic tools.

Purpose of the Study:

• To outline the evaluation, testing, and management strategies for palpitations in adolescents.
• To provide guidance on when to refer teenagers with palpitations for specialized pediatric cardiology evaluation.

Main Methods:

• Review of current literature and clinical guidelines on pediatric palpitations.
• Discussion of diagnostic approaches, including history, physical examination, and electrocardiogram (ECG).
• Identification of red flags necessitating subspecialty referral.

Main Results:

• The majority of adolescent palpitations are not indicative of serious cardiac pathology.
• Key indicators for referral include abnormal ECG, concerning family history, and activity-related symptoms or syncope.
• A systematic approach aids in accurate diagnosis and appropriate management.

Conclusions:

• Palpitations in teenagers are common and typically manageable with a structured diagnostic process.
• Early identification of concerning features ensures timely referral to pediatric cardiology.
• This article serves as a guide for primary care physicians managing adolescent palpitations.