The Curbsiders Internal Medicine Podcast

#337 Palpitations, Erectile Dysfunction: A rapid review (TFTC)

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May 25, 2022
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ADVICE

Use Tapping To Characterize Palpitations

  • Ask patients to tap the strength and rhythm of their palpitations to visualize symptoms.
  • Use that bedside demonstration to guide further testing and monitoring choices.
INSIGHT

Don't Default To Anxiety

  • Don't reflexively label palpitations as anxiety; two things can be true.
  • Women may be underdiagnosed for SVTs because symptoms are often dismissed as anxiety.
ADVICE

Leverage Wearables And Phone Videos

  • Encourage patients to bring wearable device data and phone videos to clinic for interpretation.
  • Use those recordings to rule out artifact or to identify possible AFib or other rhythms.
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