A 56-year-old man with gastroesophageal reflux disease had severe but transient palpitations during swallowing with every meal. He continued to have symptoms despite cessation of alcohol and caffeine consumption. Although he was occasionally able to reproduce his symptoms with dry swallowing, they were more prominent after swallowing solid food or carbonated beverages. He reported no palpitatio...

Background: Clinical presentation of atrial fibrillation (AF) is usually represented by palpitations; nevertheless, atypical presentation of AF with symptoms other than palpitations may be not uncommon in elderly patients. This study therefore aimed to evaluate incremental diagnostic value of tele-medicine at-home assessment in patients who called emergency medical service (EMS). Methods: A tot...

In this study, we investigated the correlation of air temperature, pressure and concentration of air pollutants with the rate of admissions for cardiac arrhythmias at two clinical centers in the area with a humid continental climate. This retrospective study included 3749 patients with arrhythmias admitted to emergency department (ED). They were classified into four groups: supraventricular tac...

OBJECTIVE To determine association between patient's symptoms and incidence of arrhythmia on 24-hour electrocardiographic Holter monitoring. STUDY DESIGN A cross-sectional descriptive study. PLACE AND DURATION OF STUDY The Cardiology Department, Liaquat National Hospital, Karachi, from January to June 2007. METHODOLOGY Patients above 15 years of age, of either gender, referred for Holter ...

Thyrotoxicosis complicated by advance degree atrioventricular block, a rare complication of a common disease. The term apathetic thyrotoxicosis, where palpitations and cardiac involvement are the sole manifestations of disease, is well known. Thyroxin's ability to sensitize the catecholamine receptors causing tachyarrhythmias is well addressed. However, as an aetiology for advanced heart block,...

A 9-year-old girl with a ten-day history of palpitations was referred for the assessment of mitral regurgitation. She had had RF ablation for paroxysmal supraventricular tachycardia 5 years previously. Echocardiography showed isolated anterior mitral leaflet perforation. Surgical findings confirmed the echocardiographic assessment.

A forty-six-year-old female presented with a history of left axillary pain, discomfort, chronic fatigue and palpitations. Clinical examination revealed large, tender nodules in the left axilla which were thought to represent enlarged axillary lymph nodes. Multiple dilated veins were visible in the left axillary region. The patient was diagnosed with Mondor’s disease based on the typical mammogr...

Left atrial (LA) myxoma presenting with symptoms of mitral stenosis in elderly males is very rare accounting for 10% of the cases. We report an 80-year-old male who presented with symptoms of orthopnea and palpitations and was subsequently found to have a large LA myxoma obstructing the mitral valve and causing pulmonary hypertension (PHT).

A 29-year-old man presented to our hospital with palpitations, shortness of breath, and orthopnea. After being admitted, he progressed to cardiogenic shock and respiratory failure, which required ventilator support and cardioversion. Subsequent evaluation revealed a fibromuscular membrane across the left atrium, requiring urgent corrective surgery.

A 35 year-old woman with a restrictive ventricular septal defect and an atrial septal aneurysm was admitted to our clinic. The patient reported mildly limited physical activity and palpitations. Transthoracic echocardiography showed an enlarged left ventricle and left atrium. The size of the right heart cavities was normal. The structure of both ventricle walls revealed a compact epicardial lay...