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Related Concept Videos

Special considerations while measuring pulse01:13

Special considerations while measuring pulse

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Assessing a patient's pulse is a fundamental skill in healthcare, but certain situations require special attention:
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Dysrhythmias VII: Nursing Management of Dysrhythmias01:25

Dysrhythmias VII: Nursing Management of Dysrhythmias

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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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Increased pulse rate01:17

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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...
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Assessment of the Cardiovascular System III: Palpation01:27

Assessment of the Cardiovascular System III: Palpation

964
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...
964
Dysrhythmias V: Evaluating Dysrhythmias01:30

Dysrhythmias V: Evaluating Dysrhythmias

288
Dysrhythmias, also known as arrhythmias, are disturbances in the heart's rhythm that range from benign to life-threatening. A thorough evaluation is crucial for appropriate management and involves a comprehensive medical history, physical examination, and various diagnostic tests.Medical HistorySymptoms: Collect detailed information on palpitations, dizziness, syncope, chest pain, and fatigue. Note their onset, frequency, and triggers.Previous Cardiac Issues: Document any history of heart...
288
Cardiovascular System Abnormal Findings I: Inspection and Palpation01:29

Cardiovascular System Abnormal Findings I: Inspection and Palpation

785
In a cardiovascular examination, inspection and palpation are crucial for identifying abnormalities.
Abnormal findings observed during an inspection
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Palpitations: A Practical Approach.

Daniel Ribero-Vargas1,2,3, Juan Camilo Jaramillo-Alvarez4,2, Jairo Gandara-Ricardo5,6

  • 1Internal Medicine, Clínica CES, Medellín, COL.

Cureus
|December 29, 2025
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Summary

Palpitations are common, often benign, but can signal serious heart issues. A thorough clinical evaluation, including electrocardiograms, is key for diagnosis.

Keywords:
cardiac arrhythmiadiagnostic and therapeutic approachelectrocardiogram (ecg/ekg)electrocardiographic monitoringheart palpitationsholter monitoringstructural heart disease (shd)

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Area of Science:

  • Cardiology
  • Internal Medicine
  • Psychiatry

Background:

  • Palpitations are a frequent primary care symptom with diverse causes.
  • While often benign, palpitations can indicate life-threatening cardiac conditions.
  • Psychiatric comorbidities frequently coexist with cardiac etiologies of palpitations.

Purpose of the Study:

  • To outline the diagnostic approach for palpitations in primary care.
  • To emphasize the importance of considering both cardiac and psychiatric factors.
  • To define indications for advanced cardiac monitoring.

Main Methods:

  • Primarily a clinical diagnostic approach.
  • Systematic evaluation including patient history and physical examination.
  • 12-lead electrocardiogram (ECG) as a baseline investigation.

Main Results:

  • Most palpitations have benign causes.
  • Palpitations can be the first sign of severe cardiac disease.
  • Ambulatory ECG monitoring is crucial for suspected arrhythmias or structural heart disease.

Conclusions:

  • A systematic clinical evaluation is essential for diagnosing palpitations.
  • Coexisting psychiatric conditions must be considered alongside cardiac causes.
  • Ambulatory ECG monitoring is indicated in specific patient subgroups for accurate diagnosis.