Other Arrhythmias

Availability

North South North West Statewide

Pre-referral work-up

History

All referrals should comply to the referral standards and also include:

  • Cardiac risk factor assessment

For supraventricular tachycardia:

  • Rate and pattern of pulse
  • Constant or intermittent
  • TIA's/stroke – past or present
  • Associated symptoms – angina, SOB
  • Current and past medications

NB: Ventricular tachycardia is an emergency and needs immediate referral to ED via ambulance.

For palpitations:

  • History of episodes is essential
  • Impact on functioning
  • Medications trialled and results of trial
  • Success of vagal manoeuvres

Tests

  • U&Es, creatinine
  • Liver function
  • Fasting lipids
  • Blood glucose
  • Thyroid function
  • ECG

Interim/GP management

To refer a patient with this condition, please see the Cardiology clinic page for the full referral process and templates.

Management of co-morbidities is recommended.

Direct link to Health Pathways Palpitations page.

For more information please see the Tasmanian Health Pathways website.

Emergency

VT
Acute symptomatic SVT

Semi-urgent / category 2

Brief frequent symptoms

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Additional Resources

Article - Initial Management of Cardiac Arrhythmias

Emergency:

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED – Phone: (03) 6777 6405  Fax: (03) 6777 5201
MCH ED – Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH
ED – Phone: (03) 6493 6340  Fax: (03) 6464 1926
RHH ED - Phone: (03) 6166 6100  Fax: (03) 6173 0489

Urgent:

Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.

We will endeavour to see these patients within one week, or sooner if clinically indicated.

Semi-urgent:

We will endeavour to see these patients within four weeks

Routine:

Next available appointment usually within eight weeks