If a patient has a sudden onset of panic attack with significant weakness, the first consideration is a sudden onset of tachyarrhythmia, which should be checked by an electrocardiogram at a nearby hospital as soon as possible, mainly to determine whether the patient has rapid atrial fibrillation, or paroxysmal supraventricular tachycardia or atrial flutter during the panic attack. If the patient’s heartbeat turns normal, the patient’s normal ECG should be traced and compared to the normal state for any significant arrhythmia. If the patient is diagnosed with an arrhythmia, he or she should be hospitalized for corresponding treatment, primarily in the cardiology department, followed by the emergency medicine department. After the patient is discharged to the cardiology department, a 24-hour ambulatory electrocardiogram should be performed to determine the exact time of the palpitation episode, how long it lasts, and whether there is any significant myocardial ischemia during the episode. If the patient has paroxysmal supraventricular tachycardia or paroxysmal atrial fibrillation, he should undergo aggressive electrophysiological examinations and radiofrequency ablation procedures on the basis of drug therapy, which have a certain chance of eradication. The eradication rate of paroxysmal supraventricular tachycardia in 1 operation is more than 90%, and the eradication rate of paroxysmal atrial fibrillation in 1 operation is more than 80%.
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