Palpitations : Initial work up and further investigations

Palpitations, the sensation of an abnormal heart rhythm, are a common and often concerning symptom encountered in primary care. They can range from benign occurrences to indications of serious cardiac conditions. A thorough and systematic approach to the investigation of palpitations is essential for accurate diagnosis and appropriate management. The table below outlines the recommended initial work-up and specialist investigations for patients presenting with palpitations. This structured approach includes basic and advanced diagnostic tools, ensuring a comprehensive evaluation of the patient's cardiovascular health.

Additionally, the integration of FDA-approved wearable technology, such as smartwatches, provides innovative methods for continuous heart monitoring and early detection of arrhythmias. This table serves as a guide for clinicians to navigate the diagnostic pathway effectively, enhancing patient care and outcomes.