TREATMENT PLAN, PROGNOSIS & KEY INFORMATION

TREATMENT PLAN 

Urgent referral indicated for:

• Syncope
• Exercise-precipitated symptoms
• First-degree relative with sudden cardiac death – Second/third-degree AV block

Routine referral for: – Chest pain

• Light-headedness
• Structural heart issues
• Abnormal resting ECG
• History of sustained

tachyarrhythmias                               Figure 4 – 10 most known ECG rhythms

No referral is needed if:

• Isolated episode
• Normal ECG
• No exercise relation
• No serious symptoms
• No structural manifestations
• No family history of sudden cardiac death

PROGNOSIS 

• Varies based on the underlying cause
• Serious arrhythmias associated with: ischaemic heart disease, heart failure, cardiomyopathies, valvular disease

KEY INFORMATION 

DVLA requirements:

• Type 1 licence: 4 weeks if uncontrolled/unidentified cause – Type 2 licence: 3 months if uncontrolled/unidentified cause.

Palpitations Reference

Figure 4