Skip to Main Content

Answer Case 3

You are correct! The answer is C. Medically unexplained symptom (MUS) is most likely.

The multiple choices were: A. Premature ventricular beats, B. Paroxysmal supraventricular tachycardia, C. Medically unexplained symptom, D. Hyperthyroidism, E. Junctional rhythm

Explanation: About 15% of patients experiencing palpitation (an unpleasant throbbing sensation in the chest) have no discernable medical disorder and are said to have a medically unexplained symptom or MUS*. About 40% of patients with palpitation have a momentary, paroxysmal, or fixed arrhythmia such as atrial fibrillation or premature atrial or ventricular beats. Drugs, anxiety, and a variety of systemic and cardiac disorders may also give rise to palpitations in the absence of an arrhythmia.

*MUS can range from a mild and transient symptom to a persistent and psychologically

Return to case 3

Go to next case