Quick takeaways

• Establishing a relationship between symptoms and rhythm is crucial when evaluating patients with palpitations.

• Different monitoring options are available for patients with palpitations, such as Holter monitors, event monitors, loop recorders, and wearable devices, depending on the frequency and duration of symptoms.

• The decision to obtain an echocardiogram in patients with palpitations should be guided by the presence of accompanying symptoms, abnormal physical examination findings, and the likelihood of capturing arrhythmias on a monitor.

• Patient education plays a vital role in accurate monitoring and diagnosis of palpitations, including the use of wearable devices but with a caution that automated interpretations may not always be accurate.

Deep dives