

S5 Ep92: Don’t Miss a Beat: Evaluation of Stable Arrhythmias in the Outpatient Setting
Aug 30, 2023
Dr. Anna Camp, a pediatric electrophysiologist at Nationwide Children's Hospital, shares her expertise on evaluating stable arrhythmias in children. She discusses crucial 'red flags' that indicate urgent referral to cardiology and the use of wearable EKG technology for monitoring. The conversation highlights strategies for differentiating between anxiety and treatable arrhythmias, as well as the role of thorough evaluations in ensuring patient safety. Personal reflections on building confidence in clinical decisions add a relatable touch to the discussion.
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Red Flags for Arrhythmia
- Ask about symptoms, especially exertional syncope, which warrants urgent cardiology referral.
- Consider triggers and frequency to determine the best diagnostic tools.
Apple Watch Utility
- Apple Watches are designed for older people with AFib, not young athletes.
- However, their ECG capabilities can be useful for documenting arrhythmias in teens.
Detailed History
- Inquire about frequency, triggers, associated symptoms, and duration of palpitations.
- Investigate medical history for electrolyte abnormalities, diabetes, or relevant conditions.