{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T06:35:50Z","timestamp":1780554950271,"version":"3.54.1"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"1011","license":[{"start":{"date-parts":[[2010,1,1]],"date-time":"2010-01-01T00:00:00Z","timestamp":1262304000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2010,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To investigate the role of a nurse-led clinic in the assessment of patients with palpitations.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>Prospective descriptive study.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting<\/jats:title>\n                  <jats:p>Nurse-led palpitations clinic in a UK district general hospital.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Participants<\/jats:title>\n                  <jats:p>Patients referred from primary care or the emergency department with palpitations.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Referral letters were screened, and only patients without high-risk features or a documented arrhythmia were diverted to the palpitations clinic. Patients were evaluated using a protocol. All patients had an ECG and ambulatory ECG monitoring and were discussed with a cardiologist.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Over 15 months, 389 patients were seen. The mean time from referral to assessment was 38 days (range 3\u2013142). The most common diagnoses were symptomatic extrasystoles (42%) and sinus rhythm (22%). Significant arrhythmias were diagnosed in 15% (atrial fibrillation\/flutter, 8%; supraventricular arrhythmias, 6%). Only 52 (13%) were subsequently referred to a cardiologist, including 20 with high-risk features. These 20 patients waited on average an additional 70 days to be seen by a cardiologist compared with patients who were seen directly by a cardiologist after referral by primary care or the emergency department.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>For low-risk patients, a nurse-led palpitations clinic may provide a viable alternative to the traditional cardiology outpatient service. Despite attempts to exclude them, some high-risk patients were seen. This was unforeseen and led to a clinically important delay in their appropriate assessment. Hence, before adopting a nurse-led palpitations service, a rigorous pathway for the early assessment of high-risk patients needs to be agreed.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/pgmj.2008.071878","type":"journal-article","created":{"date-parts":[[2010,1,12]],"date-time":"2010-01-12T00:23:41Z","timestamp":1263255821000},"page":"3-7","source":"Crossref","is-referenced-by-count":6,"title":["A nurse-led palpitations clinic: a 2-year experience"],"prefix":"10.1093","volume":"86","author":[{"given":"P A","family":"Scott","sequence":"first","affiliation":[{"name":"Wessex Cardiothoracic Unit, Southampton University Hospital , Southampton , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Appleford","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Portsmouth Hospitals NHS Trust, Queen Alexandra Hospital , Portsmouth , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T G","family":"Farrell","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Portsmouth Hospitals NHS Trust, Queen Alexandra Hospital , Portsmouth , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N P","family":"Andrews","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Portsmouth Hospitals NHS Trust, Queen Alexandra Hospital , Portsmouth , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2010,1,11]]},"reference":[{"key":"2023041908471913500_b1","article-title":"Chapter 8: arrhythmias and sudden cardiac death","author":"National Service Framework"},{"key":"2023041908471913500_b2","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1016\/j.ejheart.2004.09.009","article-title":"Success of a multidisciplinary heart failure clinic for initiation and up-titration of key therapeutic agents","volume":"7","author":"Jain","year":"2005","journal-title":"Eur J Heart 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