Before you begin, review the outline on the right. It lists the most important symptoms which point to SVT as the cause for this patients palpitation.
Note how Dr. Winston elaborates these key symptoms while at the same time he establishes a rapport with the patient which will be invaluable for future managerment decisions.
Outline for SVT
- Background
- Heart probably is structurally normal
- Timing
- Has had the attacks for a long time.
- Multiple episodes
- Varying durations
- Setting
- Varied
- No consistent precipitating factors
- Event Onset
- Abrupt
- Unexpected
- Rapid, regular
- Event Recovery
- Abrupt termination (often not noted by a patient)
- Associated Symptoms
- Occasional mild weakness
- No major symptoms such as chest pain or dyspnea