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Correspondence| Volume 223, P25-27, November 15, 2016

A randomized controlled trial evaluating Mindfulness-Based Stress Reduction (MBSR) for the treatment of palpitations: A pilot study

      Benign palpitations are a common symptom of patients presenting to internists and cardiologists [
      • Mayou R.
      • Sprigings D.
      • Birkhead J.
      • Price J.
      Characteristics of patients presenting to a cardiac clinic with palpitation.
      ] which, while not associated with a serious cardiac condition, can be highly disturbing to the patient, and may lead to costly and repetitive diagnostic testing [
      • Zimetbaum P.
      • Josephson M.E.
      Evaluation of patients with palpitations.
      ]. Providing reassurance of the benign nature of most palpitations often provides little relief, leading to dissatisfaction in patients seeking help. Mayou et al. focus on reframing the perception of palpitations from unpleasant and abnormal to accepting these sensations as normal and unremarkable. However, helping patients reframe the sensation of palpitations is not readily accomplished in a visit to a primary care physician or specialist. So, the problem remains of how best to treat patients presenting with benign palpitations.

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