The Curbsiders Internal Medicine Podcast #337 Palpitations, Erectile Dysfunction: A rapid review (TFTC)
4 snips
May 25, 2022 AI Snips
Chapters
Transcript
Episode notes
Basic Workup For Palpitations
- Always get an ECG and basic labs (CBC, BMP, TSH) when evaluating palpitations.
- Check electrolytes and thyroid because abnormalities can trigger arrhythmias.
Match Monitor To Symptom Pace
- Choose monitoring based on symptom frequency; patches for days–weeks, implantable loop recorders for sporadic events.
- Two weeks of ambulatory monitoring covers most patients with palpitations.
Stepwise SVT Management
- Start SVT management with vagal maneuvers, then consider meds (beta-blockers or non-DHP calcium blockers).
- Refer for catheter ablation for frequent or bothersome SVT since ablation is ~95% effective.