A. Arrhythmias (40%)
- Atrial Fibrillation or Flutter
- Supraventricular Tachycardia (SVT)
- Premature Ventricular Contractions (PVC)
- Premature Atrial Beats
- Wolf-Parkinson-White Syndrome
- Multifocal Atrial Tachycardia (MAT)
- Bradycardia caused by advanced AV block or sinus node dysfunction
- Bradycardia-Tachycardia (Sick Sinus) Syndrome
- Ventricular Tachycardia
B. Nonarrhythmic Cardiac [1]
- Atrial or ventricular septal defect
- Cardiomyopathy
- Congenital Heart Disease
- Congestive Heart Failure
- Mitral Valve Prolapse
- Pacemaker-mediated Tachycardia
- Pericarditis
- Valvular Disease
C. Psychiatric (30%)
- Pannic Attack / Panic Disorder
- Anxiety
- Panic with anxiety with somatization
D. Miscellaneous
- Medications
- Theophylline
- ß-adrenergic agonists - bronchodilators and inotropic agents
- Amphetamines
- Phenothiazine
- Digitalis
- High dose anticholinergic agents
- Thyrotoxicosis (hyperthyroidism)
- Caffeine
- Cocaine
- Alcohol
- Other identified causes
- Anemia
- Abnormal electrolytes
- Fever
- Hyperthyroidism
- Hypoglycemia
- Hypovolemia
- Phemochromocytoma
- Vasovagal Event
- Unknown (~15%)
References
- Abbott AV. 2005. Am Fam Phys. 71(4):743
- Zimetbaum P and Josephson ME. 1998. NEJM. 338(19):1369
- Weber BE and Kapoor WN. 1996. Am J Med. 100(2):138