Emergency Management of Palpitations in the Elderly. Epidemiology, Diagnostic Approaches, and Therapeutic Options

Namirah Jamshed, Jeffrey Dubin, Zayd Eldadah

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)205-230
Number of pages26
JournalClinics in Geriatric Medicine
Volume29
Issue number1
DOIs
StatePublished - Feb 1 2013

Keywords

  • Arrhythmias
  • Atrial fibrillation
  • Elderly
  • Emergency department
  • Palpitations

ASJC Scopus subject areas

  • Geriatrics and Gerontology

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