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Differential Diagnosis for "Heart Shaking"

Single Most Likely Diagnosis

  • Anxiety or Panic Attack: This is often associated with palpitations, which can feel like the heart is shaking. The symptoms can be triggered by stress, fear, or anxiety, leading to a physical sensation of a racing or shaking heart.

Other Likely Diagnoses

  • Atrial Fibrillation: A common heart rhythm disorder that can cause the heart to beat irregularly, leading to a sensation of shaking or quivering.
  • Mitral Valve Prolapse: A condition where the mitral valve does not close properly, causing the heart to beat irregularly and potentially leading to a sensation of the heart shaking.
  • Hyperthyroidism: An overactive thyroid gland can cause an increase in heart rate, leading to palpitations and a sensation of the heart shaking.

Do Not Miss Diagnoses

  • Myocardial Infarction (Heart Attack): Although less likely, a heart attack can cause palpitations and a sensation of the heart shaking. It is crucial to rule out this life-threatening condition.
  • Cardiac Tamponade: A condition where fluid accumulates in the sac around the heart, leading to a compression of the heart and potentially life-threatening consequences if not treated promptly.
  • Pulmonary Embolism: A blockage in one of the arteries in the lungs can cause sudden and severe symptoms, including palpitations and a sensation of the heart shaking.

Rare Diagnoses

  • Hypertrophic Cardiomyopathy: A rare heart condition where the heart muscle becomes thickened, leading to irregular heartbeats and potentially a sensation of the heart shaking.
  • Arrhythmogenic Right Ventricular Cardiomyopathy: A rare heart condition where the right ventricle is replaced by fatty tissue, leading to irregular heartbeats and potentially life-threatening arrhythmias.
  • Pheochromocytoma: A rare tumor of the adrenal gland that can cause episodes of palpitations, hypertension, and a sensation of the heart shaking due to excessive catecholamine release.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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