Palpitations: Step-by-Step Approach (Flowchart)
The USMLE Adviser Palpitations flowchart turns this presentation into a short series of yes/no decisions, the way Step 2 CK and Step 3 vignettes test it. Here is how it begins.
How the flowchart starts
The flowchart opens with syncope / exertional? If yes, the next question is about known heart disease. If no, it asks whether the rhythm is irregular, then about sudden onset / offset, before reaching the remaining causes.

FAQs
How does the palpitations flowchart start?
The flowchart opens with syncope / exertional? If yes, the next question is about known heart disease. If no, it asks whether the rhythm is irregular, then about sudden onset / offset, before reaching the remaining causes.
Where can I see the full palpitations flowchart?
The complete flowchart is page 21 of the USMLE Adviser e-book, Clinical Algorithms: Volumes 1 & 2, which has 232 flowcharts across 19 specialties.
Related flowcharts
Get the full flowchart
The USMLE Adviser e-book has 232 one-page clinical flowcharts across 19 specialties for Step 2 CK, Step 3 and the Match. Instant digital download.
From Clinical Algorithms: Volumes 1 & 2 by Dr. Adnan Memon, MD (page 21). Reviewed by the USMLE Adviser Team. For exam preparation only, not medical advice.
USMLE Adviser