My heart hates Christmas

Clinical Scenario

It’s 7 pm on Christmas day, a 32 yo woman refers palpitations since the morning. I was with my frends yesterday nigth, I think I had drank a bit too much. I Hate Christmas, it brings me down.

She’s awake, alert and oriented, her mood is low. Vital signs are normal,  EKG shows a sinus rhythm. 

 I’m sure it’s nothing but this damn holidays…

Conclusion 

There is any clinical relationship between arrhytmias and holidays or acute assumption of alcholic drinks, furthermore lonely heart can't rule out a sick heart.

Marry Xmas to all our readers! Please be happy!

Ilenia e Ciro

Bibliography 

P. Thavendiranathan 

Does this patient with palpitations have a cardiac arrythmia?

JAMA 2009 302 (19) 2135-2143

AJ. Barsky 

Palpitations, arrhytmias, and awareness of cardiac activity

Ann Intern Med 2001 May 1 134 (Pt 2) 832-7.