The DOI matches its Crossref record; 21 of the 23 references it cites were found in a registry or an index.
Evaluation of Patients with Palpitations
Abstract
Palpitations are one of the most common problems of outpatients who present to internists and cardiologists. Although usually benign, they are occasionally a manifestation of potentially life-threatening conditions. The physician's fear of missing a treatable condition may lead to the inappropriate use of expensive tests with little diagnostic and therapeutic value. The following discussion will describe the common presentations of palpitations and offer a guide to rational diagnostic testing.Common Presentations: Symptoms and Associated CircumstancesSymptomsPalpitations are described in a myriad of ways, but some specific symptoms are common and useful for narrowing the differential diagnosis.Flip-Flopping in the . . .
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In the citing paper
“Indeed, in many cases a definitive, or at least probable, diagnosis of the cause of palpitations is not reached and no specific therapy is initiated.5,6”
From Management of patients with palpitations: a position paper from the European Heart Rhythm Association (2011) · cites this paper as [5]
In the citing paper
“From the aetiological point of view, the causes of palpitations can be subdivided into five main groups (Table 1): cardiac arrhythmias, structural heart diseases, psychosomatic disorders, systemic diseases, and effects of medical and recreational drugs.3 -9”
From Management of patients with palpitations: a position paper from the European Heart Rhythm Association (2011) · cites this paper as [5]
In the citing paper
“It must be borne in mind, however, that cardiac arrhythmias and psychosomatic disorders are not mutually exclusive.5,24”
From Management of patients with palpitations: a position paper from the European Heart Rhythm Association (2011) · cites this paper as [5]
In the citing paper
“It should, however, be stressed that patients are not always able to describe the characteristics of their symptoms precisely.It may therefore be difficult to identify the type of palpitation accurately, especially in the case of normalrate palpitations.5,9,61”
From Management of patients with palpitations: a position paper from the European Heart Rhythm Association (2011) · cites this paper as [5]
In the citing paper
“The most common descriptions, and those most useful in clinical practice in differential diagnoses among the various causes of palpitations, enable palpitations to be classified according to the rate, rhythm, and intensity of heartbeat 5 -9,59,60 : extrasystolic palpitations, tachycardiac palpitations, anxiety-related palpitations, and pulsation palpitations (Table 2).”
From Management of patients with palpitations: a position paper from the European Heart Rhythm Association (2011) · cites this paper as [5]
In the citing paper
“Certain symptoms and circumstances associated to palpitations are often connected with the various causes of the palpitations and may be very helpful in making differential diagnoses.5 -9,59,60”
From Management of patients with palpitations: a position paper from the European Heart Rhythm Association (2011) · cites this paper as [5]
In the citing paper
“a substantial percentage (6-35%) of the arrhythmias diagnosed prove to be clinically significant, such as supraventricular tachycardias and atrial fibrillation.5”
From Management of patients with palpitations: a position paper from the European Heart Rhythm Association (2011) · cites this paper as [5]
Citations
Cites
Long-Term Follow-up of Asymptomatic Healthy Subjects with Frequent and Complex Ventricular Ectopy
Kennedy, H. L., Whitlock, J. A., Sprague, M. K., Kennedy, L. J., Buckingham, T. A., & Goldberg, R. J. (1985) · New England Journal of Medicine · doi:10.1056/nejm198501243120401 · Cited by 628
Long-term follow-up of idiopathic mitral valve prolapse in 300 patients: A prospective study
Düren, D. R., Becker, A. E., & Dunning, A. J. (1988) · Journal of the American College of Cardiology · doi:10.1016/0735-1097(88)90164-7 · Cited by 272
Kinlay, S., Leitch, J. W., Neil, A., Chapman, B. L., Hardy, D. B., & Fletcher, P. J. (1996) · Annals of Internal Medicine · doi:10.7326/0003-4819-124-1_part_1-199601010-00003 · Cited by 245
Wolfe, C. L. P., Sievers, R. E., Visseren, F. L. J., & Donnelly, T. J. (1993) · Circulation · doi:10.1161/01.cir.87.3.881 · Cited by 196
Evaluation and outcomes of patients with palpitations
Weber, B. E., & Kapoor, W. N. (1996) · The American Journal of Medicine · doi:10.1016/s0002-9343(97)89451-x · Cited by 196
Mechanism of ”inappropriate” sinus tachycardia. Role of sympathovagal balance
Morillo, C. A., Klein, G. J., Thakur, R. K., Li, H., Zardini, M., & Yee, R. (1994) · Circulation · doi:10.1161/01.cir.90.2.873 · Cited by 193
Leitch, J. W., Klein, G. J., Yee, R., Leather, R. A., & Kim, Y. H. (1992) · Circulation · doi:10.1161/01.cir.85.3.1064 · Cited by 171
Unrecognized Paroxysmal Supraventricular Tachycardia: Potential for Misdiagnosis as Panic Disorder
Lessmeier, T. J. (1997) · Archives of Internal Medicine · doi:10.1001/archinte.1997.00440260085013 · Cited by 157
Panic Disorder, Palpitations, and the Awareness of Cardiac Activity
BARSKY, A. J., CLEARY, P. D., SARNIE, M. K., & RUSKIN, J. N. (1994) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199402000-00001 · Cited by 135
Schwartz, P. J., & Priori, S. G. (1998) · Annals of Noninvasive Electrocardiology · doi:10.1111/j.1542-474x.1998.tb00031.x · Cited by 128
Research works printed but not linked: 3
- 10.1001/archinte.155.16.1782 · DOI · Paper page
- 10.1001/archinte.157.5.537 · DOI · Paper page
- 1995, Circulation, 92, 673
Cited by
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Items 101–173 of 173
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Taşdelen, Y., Yağcı, İ., Aydın, F., & Kıvrak, Y. (2018) · Journal of Surgery and Medicine · doi:10.28982/josam.378038 · Cited by 2
Tachykarde Rhythmusstörungen: Welches Herzrasen ist wie kritisch?
Reißmann, B., Rottner, L., Rillig, A., & Metzner, A. (2021) · MMW - Fortschritte der Medizin · doi:10.1007/s15006-021-9651-y · Cited by 2
Naydenov, S., Jekova, I. I., & Krasteva, V. (2023) · Journal of Cardiovascular Development and Disease · doi:10.3390/jcdd10090360 · Cited by 2
Novel use of an “insertable” loop recorder
Gimbel, J. (2003) · Heart · doi:10.1136/heart.89.6.e18 · Cited by 2
Bostock, J. (2014) · City Research Online (City University London) · doi:10.13140/rg.2.1.1743.9760 · Cited by 2
Palpitations: Could They Be Neurogenic? A Case Report
Gandelman‐Marton, R., Segev, Y., Theitler, J., Rabey, J. M., & Pollak, L. (2006) · The Neurologist · doi:10.1097/01.nrl.0000215787.45207.1e · Cited by 2
La gestione del paziente con palpitazioni
Giada, F., Inama, G., Bertaglia, M., Pedrinazzi, C., Gulizia, M. M., Ricci, R. P., & Raviele, A. (2010) · Giornale italiano di cardiologia · doi:10.1714/568.6749 · Cited by 2
Vidya, P. L., Ananthakrishnan, R., Mukherjee, R., Sharma, P., Joshi, S., & Mohanty, S. (2021) · Medical Journal Armed Forces India · doi:10.1016/j.mjafi.2020.12.016 · Cited by 1
Review: Rapid assessment of patients with palpitations
Laksono, S., & Kusharsamita, H. (2023) · Family Medicine & Primary Care Review · doi:10.5114/fmpcr.2023.130098 · Cited by 1
Inokuchi, R., Takada, T., Iwagami, M., Sasaki, T., Sugiyama, T., Maehara, H., Gunshin, M., Shinohara, K., Tamiya, N., & Doi, K. (2025) · Journal of Emergency Medicine · doi:10.1016/j.jemermed.2025.01.005 · Cited by 1
New insights into the clinical signs of supraventricular tachycardia: The “sign of lace‐tying”
Blommaert, D., Dormal, F., Deceuninck, O., Xhaët, O., Ballant, E., & Roy, L. D. (2017) · Annals of Noninvasive Electrocardiology · doi:10.1111/anec.12471 · Cited by 1
Usefulness of External Loop Recorder in Patients with Palpitation
Kawasaki, S., Tanno, K., Onishi, Y., Munetsugu, Y., Onuma, Y., Kikuchi, M., Ito, H., Onuki, T., Watanabe, N., Minoura, Y., et al. (2014) · Japanese Journal of Electrocardiology · doi:10.5105/jse.34.5 · Cited by 1
Leirgul, E., Hysing, M., Greve, G., & Sivertsen, B. (2021) · Cardiology in the Young · doi:10.1017/s1047951121001815 · Cited by 1
van Weert, H. C. P. M. (2013) · Bijblijven · doi:10.1007/s12414-013-0075-1 · Cited by 1
Psychological and Physical Etiologies of Heart Palpitations
Thompson, J. (2006) · The Nurse Practitioner · doi:10.1097/00006205-200602000-00004 · Cited by 1
Management of Palpitations in Urgent Care
Barkoduah, E., & Collins, J. P. (2012) · Cited by 1
The Clinical Diagnosis of Arrhythmias in Patients Presenting With Palpitations
Chan, T. M., & Worster, A. (2010) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2010.08.018 · Cited by 1
2018 KHRS Guidelines for Catheter Ablation of Ventricular Arrhythmias – Part1
Roh, S., Kim, S., Kim, Y.-N., Kim, J.-Y., Kim, J., Kim, T., Nam, G., Park, K., Park, H., Pak, H., et al. (2018) · International Journal of Arrhythmia · doi:10.18501/arrhythmia.2018.006 · Cited by 1
Kuppuswamy, S., & Flaker, G. C. (2006) · CRC Press eBooks · doi:10.1201/b14679-7 · Cited by 1
Lucassen, W. A. M., Himmelreich, J. C. L., Harskamp, R. E., & Selder, J. L. (2021) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-368-2620-4_30 · Cited by 1
Cardiovascular Evaluation and Treatment in the Endurance Athlete
Hornick, A., & Daniels, C. J. (2023) · Springer eBooks · doi:10.1007/978-3-031-26600-3_2 · Cited by 1
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Chua, C. E., Leungsuwan, S., Ng, L. Y., & Teo, D. B. S. (2024) · Singapore Medical Journal · doi:10.4103/singaporemedj.smj-2021-417 · Cited by 1
Landesa, S. A. (2022) · Actualización en Medicina de Familia · doi:10.55783/amf.181010 · Cited by 1
Approach to Palpitations in Pregnancy
Sia, W. W., Gibson, P., & Khurana, R. (2010) · Wiley eBooks · doi:10.1002/9781444323016.ch40 · Cited by 1
Innovative technologies for the cardiac patient and their effects
Eggett, C. (2015) · British Journal of Cardiac Nursing · doi:10.12968/bjca.2015.10.8.370 · Cited by 1
Paroxysmal atrial fibrillation
Haldar, S. (2011) · Oxford University Press eBooks · doi:10.1093/med/9780199695546.003.0142 · Cited by 1
Premature Atrial and Ventricular Complexes
Loffler, A. I., & Darby, A. E. (2020) · Wiley eBooks · doi:10.1002/9781118754511.ch17 · Cited by 1
Ambulatory Electrocardiography, Transient Event Monitors, and Continuous Loop Recorders
Kreeger, R. W., Brooks, J., & Movahed, A. (2008) · Springer eBooks · doi:10.1007/978-3-540-78674-0_9
Camm, A. J., Al‐Ahmad, A., Cannom, D. S., Farré, J., Josephson, M. E., & Wellens, H. J. J. (2009) · Wiley eBooks · doi:10.1002/9781444317077.ch1
Self-citationErshadifar, T., Minaei, M. B., & Shahkarami, E. (2013) · قرآن و طب
Zipes, D. P., Buxton, A. E., Gregoratos, G., Moss, A. J., Myerburg, R. J., Priori, S. G., Quiñones, M. A., von Roden, M., & Silka, M. J. (2006)
Utility of the Implantable Loop Recorder: Current Status
Giada, F., CORBUCCI, G., & Raviele, A. (2008) · Hospital chronicles/Hospital Chronicles
Il cardiopalmo: iter diagnostico
Giada, F., & Raviele, A. (2010) · Giornale italiano di cardiologia · doi:10.1714/660.7680
Knocking on heaven’s door. De diagnostiek van hartkloppingen
van Weert, H. C. P. M. (2006) · Bijblijven · doi:10.1007/bf03059922
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Yontar, O. C., Tenekecioğlu, E., Karaağaç, K., Tütüncü, A., & Melek, M. (2015) · Balıkesır Health Sciences Journal · doi:10.5505/bsbd.2015.05900
3. Palpitations: reassurance or more?
Vohra, J. K. (1999) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.1999.tb127822.x
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Hysing, J., & Brunvand, H. (2009) · Tidsskrift for Den norske legeforening · doi:10.4045/tidsskr.08.0717
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Galvin, K., & Bishop, M. (2011) · Elsevier eBooks · doi:10.1016/b978-0-7295-3955-5.10007-1
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Olshansky, B. (2017) · Elsevier eBooks · doi:10.1016/b978-0-12-801238-3.99768-x
Il cardiopalmo: epidemiologia, classificazione e prognosi
Pedrinazzi, C., Durin, O., Bonara, D., Inama, L., & Inama, G. (2010) · Giornale italiano di cardiologia · doi:10.1714/660.7679
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Keene, S. A. (2013) · International Society of Hair Restoration Surgery · doi:10.33589/23.2.0064
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Rothman, S. A. (2020) · Contemporary cardiology · doi:10.1007/978-3-030-41967-7_13
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Hu, T., Wang, T., & Zhang, X. (2020) · Scientific Reports · doi:10.1038/s41598-020-71797-y
Indicazioni all’utilizzo diagnostico del loop recorder impiantabile ed esterno
Brignole, M., Vardas, P. E., Hoffman, E., Huikuri, H. V., Moyá, A., Ricci, R. P., Sulke, N., & Wieling, W. (2011) · Giornale Italiano di Aritmologia e Cardiostimolazione
Reame, N. K. (2021) · Menopause The Journal of The North American Menopause Society · doi:10.1097/gme.0000000000001808
Chest Pain, Dyspnea, Palpitations
Hanna, E. B. (2022) · Wiley eBooks · doi:10.1002/9781119832737.ch27
Almuti, K., Bozorgnia, B., & Rothman, S. A. (2010) · Humana Press eBooks · doi:10.1007/978-1-60761-161-5_7
Iannone, P., & Lenzi, T. (2008) · Emergency Care Journal · doi:10.4081/ecj.2008.2.9
van Weert, H. C. P. M., & Peters, R. J. G. (2016) · Kernboek · doi:10.1007/978-90-368-1274-0_24
Pines, J. M., Carpenter, C. R., Raja, A. S., & Schuur, J. D. (2012) · Wiley eBooks · doi:10.1002/9781118482117.ch24
Clinical Assessment of the Cardiac Arrhythmia Patient
Olshansky, B. (2017) · Elsevier eBooks · doi:10.1016/b978-0-12-809657-4.99768-0
van Weert, H. (2003) · Huisarts en Wetenschap · doi:10.1007/bf03083202
Jonovich, M. R., & HALL, B. W. (2011) · Springer eBooks · doi:10.1007/978-0-85729-944-4_15
van Weert, H. C. P. M., & Peters, R. J. G. (2011) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-313-8364-1_24
van Weert, H. C. P. M., & Peters, R. J. G. (2007) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-313-6530-2_28
(2016) · Elsevier eBooks · doi:10.1016/b978-3-437-21833-0.16001-2
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Hanna, E. B. (2017) · Wiley eBooks · doi:10.1002/9781119233503.ch27
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Probst, M. A., & Carpenter, C. R. (2023) · Wiley eBooks · doi:10.1002/9781119616870.ch22
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Metadata
- Authors
- Zimetbaum, P., & Josephson, M. E.
- Affiliations
- Beth Israel Deaconess Medical Center (US)
- ORCID
- Zimetbaum, Peter
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 1998-05-07
- Volume
- 338
- Issue
- 19
- Pages
- 1369-1373
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2007450066
- Cited by
- 172
- References
- 23
- Citations by year
- 2026: 8 · 2025: 2 · 2024: 5 · 2023: 5 · 2022: 3 · 2021: 6 · 2020: 8 · 2019: 8 · 2018: 7 · 2017: 11 · 2016: 8 · 2015: 10 · 2014: 7 · 2013: 7 · 2012: 7
- FWCI
- 3.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Syncope and Autonomic Disorders
- Keywords
- palpitations, differential diagnosis, diagnostic testing, unnecessary testing, cardiac arrhythmias, presenting symptoms
- MeSH terms
- Anxiety Disorders, Arrhythmias, Cardiac, Catecholamines, Electrocardiography, Humans, Posture, Exercise, Electrocardiography, Ambulatory, Panic Disorder
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