when do you investigate ectopy?
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Cardiology
when do you investigate ectopy?
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I'm in the throes of preparing a talk on palpitations for a group of primary care physicians and I'm doing my ectopy slides because I reckon these (and sinus tachycardia) are the commonest dysrhythmia
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Cat:OpenClinicalForum:083a12c9-861a-4a42-a5af-ddc3263b34bc
Cat:OpenClinicalForum:083a12c9-861a-4a42-a5af-ddc3263b34bcDiscussion:5963afc7-6f2c-454b-a077-d7545167e2ff
Forums » Open clinical » Cardiology » when do you investigate ectopy?
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when do you investigate ectopy?
posted at 1/2/2012 3:20 PM GMT
on bmj.com
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Posts: 446
First: 17/6/2011 Last: 15/5/2012 |
I'm in the throes of preparing a talk on palpitations for a group of primary care physicians and I'm doing my ectopy slides because I reckon these (and sinus tachycardia) are the commonest dysrhythmias seen in primary care. What features prompt you to investigate further? |
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Re: when do you investigate ectopy?
posted at 4/2/2012 12:15 AM GMT
on bmj.com
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Posts: 3
First: 18/1/2011 Last: 14/3/2012 |
Hello. I did some reading on this recently as I wanted to know the answer too. Basically ectopics are atrial or ventricular. Ventricular (PVCS) do not pose a health risk unless there is a history of heart disease in which case you should refer for investigation. if no heart disease then prognosis is good although if occur during exercise then should investigate too. Atrial ectopics are v common and may occur with increased pressure on the atria such as cardiac failure or mitral valve disease, although can be caused or exacerbated by caffeine or alcohol. any ectopics which cause chest pain , Shortness of breaeth or sycope (esp. exertional syncope) need urgent invx. frequent ectopics - invx with holter monitor infrequent - need event monitor bloods etc. low risk patients with no worrying features can be reassured! That's what i learnt. hope that is helpful. |
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Re: when do you investigate ectopy?
posted at 7/2/2012 1:23 AM GMT
on bmj.com
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Posts: 189
First: 8/6/2011 Last: 12/5/2012 |
I think yes. Say the truth i feel that something is going wrong or will be in the near future. i always investigate them at least with an interviu, clinical examination and assesment of risk factors. After you finish your presentation Sadian poste the slides and heare on doc2doc. I believe many of as would like to learne something more or take a look again on these interesting subject. |
Forums » Open clinical » Cardiology » when do you investigate ectopy?
