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Differential Diagnosis for Low-Grade Fever, Chest Palpitations, and Bradycardia

Single Most Likely Diagnosis

  • Hypothyroidism: This condition can cause low-grade fever, bradycardia, and potentially palpitations due to the heart's decreased demand for oxygen. The metabolic slowdown associated with hypothyroidism can also lead to a feeling of palpitations.

Other Likely Diagnoses

  • Anxiety or Panic Disorder: These conditions can cause palpitations and may be associated with a low-grade fever if the anxiety leads to increased muscle tension or other physiological responses. Bradycardia can occur in some cases, especially if the individual has a vagal response.
  • Viral Pericarditis: This condition can cause chest pain (which might be perceived as palpitations), low-grade fever, and bradycardia due to the inflammation of the pericardium.
  • Medication Side Effects: Certain medications, such as beta-blockers, can cause bradycardia and potentially palpitations as a side effect. Low-grade fever could be unrelated or due to another condition.

Do Not Miss Diagnoses

  • Endocarditis: Although less common, infective endocarditis can present with low-grade fever, palpitations (due to heart valve issues), and bradycardia in some cases. It's crucial to consider this diagnosis due to its high mortality rate if left untreated.
  • Myocarditis: Inflammation of the heart muscle can lead to palpitations, low-grade fever, and bradycardia. This condition requires prompt diagnosis and treatment to prevent serious complications.
  • Lyme Carditis: A known cause of heart block and bradycardia, Lyme carditis can also present with palpitations and low-grade fever, especially in endemic areas.

Rare Diagnoses

  • Cardiac Sarcoidosis: A rare condition where granulomas form in the heart, potentially leading to bradycardia, palpitations, and systemic symptoms like low-grade fever.
  • Hypersensitivity Pneumonitis: An allergic reaction to certain substances can cause inflammation in the lungs, leading to symptoms that might include low-grade fever, palpitations (due to hypoxia), and potentially bradycardia in severe cases.

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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