Palpitations / Other Arrhythmias (incl SVT)
North South North West Statewide
All referrals should comply to the Referral Standards and must 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.
- History of episodes is essential
- Impact on functioning
- Medications trialled and results of trial
- U&Es, Creatinine
- Liver function
- Fasting lipids
- Blood glucose
- Thyroid function
- ECG - particularly those demonstrating the arrhythmia
To refer a patient with this condition, please see the Cardiology clinic page for the full referral process and templates.
Additional information which may be useful for triage:
- Relevant previous medical history and co-morbidities
- Caffeine intake, alcohol intake and drug use (including recreational drugs)
- Echocardiogram report
- Stress test report
- CXR report
Interim management advice can be found on the HealthPathways website.
For more information please see the Tasmanian Health Pathways website.
Acute symptomatic SVT
Urgent / category 1
- Supraventricular tachycardia without concerning features
- Severe dizziness
- Ongoing chest pain
- Increasing shortness of breath
- Signs of cardiac failure
- Ventricular rate >120
Semi-urgent / category 2
Documented evidence of pre-excitation on ECG with history of palpitations
Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.
Proceed to Emergency Department (ED).
LGH ED Reception – Phone: (03) 6777 6405 Fax: (03) 6777 5201
MCH ED* – Phone: (03) 6478 5120 Fax: (03) 6441 5923
NWRH ED* – Phone: (03) 6493 6351 Fax: (03) 6464 1926
RHH ED Reception – Phone: (03) 6166 6100 Fax: (03) 6173 0489
Advice for medical practitioners can be given by the Medical Officer In Charge (MOIC) - see HealthPathways Tasmania for contact information.
*MCH and NWRH MOICs request GPs call them prior to referring a patient to ensure the patient is being sent appropriately to a safe destination.
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.
We will endeavour to see these patients within four weeks
Next available appointment usually within eight weeks