Editing Palpitations (section)

=== Medical treatments ===
Treating palpitations depends on how bad they are and what’s causing them.<ref name="Robinson Sanchack 2019" /><ref name=":1" />

[[Radiofrequency ablation]] is a common treatment for most [[Supraventricular tachycardia|supraventricular]] and [[ventricular tachycardia]]s.<ref name="Robinson Sanchack 2019" /> Another option is stereotactic radioablation.<ref name="Robinson Sanchack 2019" /> It was originally performed for [[tumor]]s. But, it has also treated tough heart rhythm problems. These include [[ventricular tachycardia]] and [[atrial fibrillation]].<ref name="Robinson Sanchack 2019" />

Some palpitations are caused by extra heartbeats or occur with a normal heart rhythm. These include beats that start above the ventricles or [[Premature ventricular contraction|ventricular ectopic beats]].<ref name="Robinson Sanchack 2019" />  These are usually harmless, and patients can be reassured that they’re not dangerous. If the symptoms are bothersome or impact daily life, [[Beta blocker|beta-blockers]] might help. They can also protect healthy people.<ref name="Robinson Sanchack 2019" />

People with no symptoms, normal lab tests, and normal EKG results can usually leave the emergency department safely. They should follow up with their primary care doctor or a cardiologist.<ref name="Robinson Sanchack 2019" /> However, patients with palpitations linked to fainting ([[Syncope (medicine)|syncope]]), uncontrolled arrhythmias, poor blood flow ([[Hemodynamics|hemodynamic]] issues), or chest pain ([[angina]]) should get further evaluation.<ref name="Robinson Sanchack 2019" />

If palpitations are due to heart muscle problems, a cardiologist must be involved in the patient's care.

Palpitations from vagus nerve stimulation are usually not due to heart problems. These types of palpitations originate outside the heart and are not a sign of an unhealthy heart muscle. To treat this type of palpitation, the cause of irritation to the vagus nerve or [[parasympathetic nervous system]] needs to be found and fixed.  Anxiety and stress can worsen vagus nerve-induced palpitations. So, managing stress is key to treatment.