The more frequent and the longer the duration of the palpitations the bigger is the impact on the life and health of the patient.
Classify patients into four categories:
I - no symptoms, no risk of sudden death, no heart dilatation
II - no symptoms, risk of sudden death or heart dilatation
III - symptoms e.g. pain or anxiety or dilated heart but no syncope and no aborted sudden death
IV - syncope or aborted sudden death
Class I may may not need treatment. Class IV need immediate diagnosis and treatment. Classes II and III are of intermediate urgency.
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