Referrals
Palpitations referral checklist
Referral checklist for recurrent palpitations, suspected arrhythmia, or high-risk symptom combinations.
Last reviewed 2026-02-07|palpitations | cardiology | arrhythmia
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Minimum pre-referral workup
- Detailed symptom chronology including duration, triggers, and associated symptoms.
- Baseline cardiovascular exam and rhythm-focused assessment.
- Medication/stimulant review and comorbidity profile.
Urgency tier
- Same-day escalation for palpitations with syncope, chest pain, hypotension, or severe dyspnea.
- Expedited referral for recurrent symptomatic episodes with high-risk clinical context.
- Routine referral for persistent, non-urgent palpitations needing rhythm diagnosis support.
Referral packet checklist
- Event timeline and associated red-flag symptoms.
- Objective findings and any available ECG/rhythm data.
- Current medications, relevant labs, and family history context.
Pre-referral optimization tasks
- Counsel on stimulant reduction and hydration while awaiting assessment.
- Reinforce return precautions for syncope, chest pain, or worsening dyspnea.
- Arrange interim follow-up for symptom trend review.