Emergency management of palpitations in the elderly: epidemiology, diagnostic approaches, and therapeutic options. [Review]

MedStar author(s):
Citation: Clinics in Geriatric Medicine. 29(1):205-30, 2013 Feb.PMID: 23177608Form of publication: Journal ArticleMedline article type(s): Journal Article | ReviewSubject headings: *Atrial Fibrillation/di [Diagnosis] | *Atrial Fibrillation/th [Therapy] | *Emergency Treatment/mt [Methods] | *Tachycardia/di [Diagnosis] | *Tachycardia/th [Therapy] | Aged | Aged, 80 and over | Aging/ph [Physiology] | Atrial Fibrillation/ep [Epidemiology] | Atrial Fibrillation/pp [Physiopathology] | Electrocardiography | Emergencies | Emergency Service, Hospital | Humans | Middle Aged | Physical Examination | Risk Factors | Tachycardia/ep [Epidemiology] | Tachycardia/pp [Physiopathology]Year: 2013Local holdings: Available online from MWHC library: 2000 - presentISSN:
  • 0749-0690
Abstract: Palpitations are a common complaint among elderly patients presenting to the emergency department. Although most are benign, the elderly do have a higher risk of having a cardiac cause. Other causes include psychiatric disorders, and sometimes a combination of cardiac and psychiatric causes coexist. A history and physical examination, including a detailed medication history, are an essential part of the workup in older patients. A 12-lead electrocardiogram is an essential first step toward a diagnosis; other tests are recommended in high-risk patients, including those with underlying coronary artery disease or structural cardiac abnormalities. Copyright 2013 Elsevier Inc. All rights reserved.All authors: Dubin J, Eldadah Z, Jamshed NFiscal year: Digital Object Identifier: Date added to catalog: 2013-09-17
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Journal Article MedStar Authors Catalog Article Available 23177608

Available online from MWHC library: 2000 - present

Palpitations are a common complaint among elderly patients presenting to the emergency department. Although most are benign, the elderly do have a higher risk of having a cardiac cause. Other causes include psychiatric disorders, and sometimes a combination of cardiac and psychiatric causes coexist. A history and physical examination, including a detailed medication history, are an essential part of the workup in older patients. A 12-lead electrocardiogram is an essential first step toward a diagnosis; other tests are recommended in high-risk patients, including those with underlying coronary artery disease or structural cardiac abnormalities. Copyright 2013 Elsevier Inc. All rights reserved.

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