Differential Diagnosis for Heart Palpitations
Single Most Likely Diagnosis
- Anxiety or Stress: Heart palpitations are a common symptom of anxiety and stress, which can cause an increase in heart rate and forceful heartbeats, leading to the sensation of palpitations.
Other Likely Diagnoses
- Atrial Fibrillation: A type of irregular heartbeat that can cause palpitations, shortness of breath, and fatigue.
- Mitral Valve Prolapse: A condition where the mitral valve does not close properly, leading to palpitations, chest pain, and shortness of breath.
- Hyperthyroidism: An overactive thyroid gland can cause an increase in heart rate, leading to palpitations, weight loss, and heat intolerance.
- Dehydration or Electrolyte Imbalance: Dehydration or an imbalance of essential electrolytes such as potassium, sodium, or magnesium can disrupt heart function, leading to palpitations.
Do Not Miss Diagnoses
- Myocardial Infarction (Heart Attack): Although less common, heart palpitations can be a symptom of a heart attack, especially in individuals with a history of heart disease.
- Cardiac Tamponade: A life-threatening condition where fluid accumulates in the sac surrounding the heart, leading to palpitations, chest pain, and shortness of breath.
- Pulmonary Embolism: A blood clot in the lungs can cause palpitations, chest pain, and shortness of breath, and is a medical emergency.
- Hypertrophic Cardiomyopathy: A condition where the heart muscle becomes thickened, leading to palpitations, chest pain, and shortness of breath, and can increase the risk of sudden cardiac death.
Rare Diagnoses
- Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC): A rare condition where the heart muscle in the right ventricle is replaced by fatty tissue, leading to palpitations, chest pain, and shortness of breath.
- Long QT Syndrome: A rare genetic disorder that affects the heart's electrical system, leading to palpitations, fainting, and sudden cardiac death.
- Pheochromocytoma: A rare tumor of the adrenal gland that can cause an increase in heart rate and blood pressure, leading to palpitations, headaches, and sweating.