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The patient with palpitations reports a disquieting awareness of his or her heartbeat, which may be described as a “pounding,” “racing,” “skipping,” “flopping,” or “fluttering” sensation. It is disconcerting and often incites fear, although many cases seen in the office setting occur among persons with no serious underlying heart disease. The evaluation of palpitations by the primary physician focuses on differentiating the high-risk person in need of an intensive evaluation and possible cardiology referral from the low-risk individual who can be reassured after a screening assessment. The primary physician needs to be familiar with the telltale manifestations of worrisome dysrhythmias and the indications for and limitations of methodologies for their detection and evaluation.
If you continue to have concerns please do follow up with your Dr.