GP emergency management

Palpitations: a common symptom that could be serious

Sascha Fulde, Gordian Fulde



Articles in this section use cases to illustrate the emergency management of patients presenting in general practice with cardiac problems. They are inspired by, but not based on, real patient situations.

Article Extract

Dr JP, a retired 70-year-old GP friend, comes to see you in your practice. He is concerned because he has been experiencing symptomatic palpitations over the past two weeks. The palpitations occur both in the day and at night with an unpleasant pounding inside of his chest and at times into his neck (atrial contraction against a closed atrioventricular valve).