The Practitioner - 1868-2018: Supporting general practitioners for 150 years - Palpitations when you hear hoof beats dont forget to think zebras
 
 
 
 
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Harskamp RE, Thole OB, Boeting J, Moggre J. Palpitations: when you hear hoof beats don’t forget to think zebras. Practitioner 2017;261(1803):23-25

Palpitations: when you hear hoof beats don’t forget to think zebras

24 Apr 2017Registered users

In general practice palpitations are reported in around 8 per 1,000 persons per year. The differential diagnosis includes cardiac and psychiatric causes, as well as numerous others e.g. anaemia, hyperthyroidism, prescribed medication, caffeine and recreational drugs. Factors that point towards a cardiac aetiology are male sex, irregular heartbeat, history of heart disease, event duration > 5 minutes, frequent palpitations, and palpitations that occur at work or disturb sleep.

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