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Here is a quick mnemonic “APPROACH TO PATIENt to remember about Palpitations Including Approach To A Patient 

This can be valuable for patients as well as medical doctors, nurses & students doing their clinical rounds. You can also find it very useful for med exams like USMLE, NExT Medical Step 1&2, MBBS, NEET PG, INI-CET, FMGE,MCAT & NCLEX exams

Palpitations Including Approach To A Patient : How To Remember Easily ?

  • A – Assess the patient’s symptoms and medical history.
  • P – Palpitations are often a result of various causes, including cardiac, psychiatric, and miscellaneous factors.
  • P – Perform a physical examination to evaluate vital signs, jugular venous pressure, and the chest.
  • R – Record an electrocardiogram to document the arrhythmia if necessary.
  • O – Other diagnostic methods may include Holter monitoring, telephonic monitoring, loop recordings, or mobile cardiac outpatient telemetry.
  • A – Assess for associated symptoms such as syncope, lightheadedness, angina, or dyspnea.
  • C – Consider the presence of risk factors for coronary artery disease and ventricular arrhythmias.
  • H – Hypertrophic cardiomyopathy, aortic stenosis, and mitral stenosis may be accompanied by dyspnea and contribute to palpitations.
  • T – Thyrotoxicosis, drugs, and ethanol are among the miscellaneous causes of palpitations.
  • O – Obtain a comprehensive understanding of the patient’s condition to determine the appropriate treatment.
  • P – Panic attacks, anxiety disorders, and somatization can also contribute to palpitations.
  • A – Arrhythmias need to be assessed for potential life-threatening risks.
  • T – Tobacco, caffeine, and certain medications can increase the likelihood of palpitations.
  • I – Investigate the patient’s pulse and ask them to “tap out” the rhythm of their palpitations.
  • E – Exercise electrocardiography may be helpful if the arrhythmia is induced by exertion.
  • N – Note the duration, frequency, and accompanying symptoms of the palpitations.
  • T – (blank)


Dr. Arin Nandi

Passionate About Medical Science & Helping Future Doctors Achieve Top Ranks In Medical Exams. He is professionally a dentist as well as a public health expert from JIPMER (1), (2)working in health department