Draft for consultation only
Referral to emergency
If any of the following are present or suspected, please refer the patient to the emergency department (via ambulance if necessary) or seek emergent medical advice if in a remote region.
- sustained palpitations with any red flags:
- chest pain
- shortness of breath
- syncope/pre-syncope (refer to Syncope and Pre-Syncope CPC)
persisting tachyarrhythmia on electrocardiogram (ECG)
For clinical advice, please telephone the relevant metropolitan Local Health Network switchboard and ask to speak to the relevant specialty service.
Central Adelaide Local Health Network
- Royal Adelaide Hospital (08) 7074 0000
- The Queen Elizabeth Hospital (08) 8222 6000
Northern Adelaide Local Health Network
- Lyell McEwin Hospital (08) 8182 9000
Southern Adelaide Local Health Network
- Flinders Medical Centre (08) 8204 5511
- Noarlunga Hospital (08) 8384 9222
Asymptomatic or symptomatic isolated ectopic beats
Category 1 — appointment clinically indicated within 30 days
Category 2 — appointment clinically indicated within 90 days
- palpitations without red flags, but may include:
- other cardiac symptoms
- transient haemodynamic disturbance
- abnormal electrocardiogram (ECG)
Category 3 — appointment clinically indicated within 365 days
For information on referral forms and how to import them, please view general referral information.
Essential referral information
Completion required before first appointment to ensure patients are ready for care. Please indicate in the referral if the patient is unable to access mandatory tests or investigations as they incur a cost or are unavailable locally.
- description of frequency, duration and associated symptoms
- alleviating factors
- presence of red flags
- history of underlying cardiac disease and risk factors
- people identifying as Māori, Aboriginal and/or Torres Strait Islander - increased risk of acute rheumatic fever and rheumatic heart disease
- familial history of sudden cardiac death, sudden infant death syndrome, or sudden unexplained death
- urea, electrolytes, creatinine (UEC)
- liver function tests (LFTs)
- blood sugar levels
- estimated glomerular filtration rate (eGFR)
- thyroid stimulating hormone (TSH)
- all available electrocardiograms (ECGs) (during episodes if possible)
Additional information to assist triage categorisation
- holter monitor report
- echocardiogram (Echo)
- stress test
- use/frequency of alcohol, caffeine, tobacco and other drugs
Clinical management advice
Patients who have been seen by a specialist cardiologist previously, are encouraged to be referred back to their care for further review.
Electrocardiogram (ECG) at the time of palpitation (even if normal) may be of highly relevant value.
- European Society of Cardiology — 2021 Management of Valvular Heart Disease Clinical Practice Guidelines