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AMBULATORY ELECTROCARDIOGRAPHY
Class I
Palpitations, syncope, dizziness
Class II
Shortness of breath, chest pain, or fatigue (not otherwise explained, episodic, and strongly suggestive of an arrhythmia as the cause because of a relation of the symptom with palpitation)
Class III
Symptoms not reasonably expected to be due to arrhythmia
ELECTROPHYSIOLOGIC STUDY
Class I
  
1.   
  
2.   
Class II
Patients with clinically significant palpitations, suspected to be of cardiac origin, in whom symptoms are sporadic and cannot be documented; studies are performed to determine the mechanisms of arrhythmias, to direct or provide therapy, or to assess prognosis
Class III
Patients with palpitations documented to be due to extracardiac causes (e.g., hyperthyroidism)
ECHOCARDIOGRAPHY
Class I
Arrhythmias with evidence of heart disease
Family history of genetic disorder associated with arrhythmias
Class II
Arrhythmias commonly associated with, but without evidence of, heart disease
Atrial fibrillation or flutter
Class III
Palpitations without evidence of arrhythmias
Minor arrhythmias without evidence of heart disease
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