A bloody mass: rare cardiac tumor as a cause of symptomatic ventricular arrhythmias.

Dr Salehian: Palpitations as a chief complaint are a common issue routinely assessed by family physicians, general internists, emergency department physicians, and cardiologists. The differential diagnosis in such patients is broad and often not related to a primary cardiac issue or arrhythmia. Broadly, symptoms of palpitations may be related to cardiac arrhythmia or structural heart disease, medications, recreational drugs and alcohol, metabolic disorders, high output states, or psychiatric conditions. To help to determine the etiology of the patient’s symptoms, a thorough history, physical examination, and basic laboratory investigations are necessary to help to determine which further investigations are required.