History taking -- Palpitations.
Introduction
When did the palpitations start?
Exact circumstances?
Rate and regularity?
Any associated features like vomiting, sweating, chest pain, dyspnoea, dizziness, collapse?
Tremors, weight loss, anxious, frightened and panic attacks.
What makes the palpitations worse and what makes them go?
Drug history? Alcohol and smoking?
Medical history: MI, DM and Thyroid disease.
DD: Heart disease, Thyroid, drugs, alcohol, obesity, anxiety, family history and life style.