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Routine review with a GP or diabetes specialist nurse is appropriate for: Mild, intermittent palpitations without other concerning features Questions about heart rate monitoring or medication interactions Gradual increases in resting heart rate noted during home monitoring General concerns about cardiovascular health while taking tirzepatide Healthcare professionals should maintain a low threshold for further investigation in symptomatic patients, which may include electrocardiography (ECG), 24-hour Holter monitoring, or echocardiography as clinically indicated

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