Heart Palpitations: Or something else? Differential Diagnosis

Blood, blood-forming organs-immune system (D50-D90).

Endocrine, nutritional, and metabolic diseases (E00-E90).

  • Hyperthyroidism (hyperthyroidism).
  • Hypoglycemia (low blood sugar)
  • Hypomagnesemia (magnesium deficiency)
  • Hypokalemia (potassium deficiency)
  • Thyrotoxicosis (hyperthyroidism with excessive hormone production).

Cardiovascular system (I00-I99)

  • Heart failure (cardiac insufficiency)
  • Valvular heart disease, unspecified
  • Cardiac arrhythmias (HRS)
    • Extrasystoles (heart stumbles; heartbeat that occurred outside the normal heart rhythm): ventricular (originating from the heart chambers) as well as supraventricular (originating from the atrium) extrasystoles.
    • Atrial fibrillation, sick sinus syndrome, ventricular tachycardia.
    • AV nodal re-entrant tachycardia (AVNRT).
    • Fascicular ventricular tachycardia (life-threatening arrhythmia originating in the ventricle) occurring in patients without structural heart disease; differential diagnoses: substrate-related ventricular tachycardia, supraventricular tachycardia
    • Pacemaker tachycardias – pacemaker-induced pulse rate > 100 beats/min.
  • Cardiomyopathy – structural heart disease leading to limitations in exercise capacity.
  • Coronary artery disease (CAD; coronary artery disease).
  • Pulmonary embolism (LE) – partial or complete obstruction of a pulmonary artery, mainly due to pelvic-leg thrombosis (about 90% of cases).
  • Myocarditis (inflammation of the heart muscle).
  • Pulmonary hypertension (PH) – pressure increase in the pulmonary artery system.
  • Shuntvitien – congenital heart defects in which there is a circulatory short circuit.

Neoplasms – tumor diseases (C00-D48).

  • Mastocytosis – two main forms: cutaneous mastocytosis (skin mastocytosis) and systemic mastocytosis (whole body mastocytosis); clinical picture of cutaneous mastocytosis: Yellowish-brown spots of varying size (urticaria pigmentosa); in systemic mastocytosis, there are also episodic gastrointestinal complaints (gastrointestinal complaints), (nausea (nausea), burning abdominal pain and diarrhea (diarrhea)), ulcer disease, and gastrointestinal bleeding (gastrointestinal bleeding) and malabsorption (disorder of food absorption); In systemic mastocytosis, there is an accumulation of mast cells (cell type that is involved in, among other things, allergic reactions). Among other things, involved in allergic reactions) in the bone marrow, where they are formed, as well as accumulation in the skin, bones, liver, spleen and gastrointestinal tract (GIT; gastrointestinal tract); mastocytosis is not curable; course usually benign (benign) and life expectancy normal; extremely rare degeneration mast cells (= mast cell leukemia (blood cancer)).
  • Pheochromocytoma – predominantly malignant neoplasm localized mainly in the adrenal medulla.
  • Atrial myxoma – benign neoplasm in the atrium of the heart.

Psyche – nervous system (F00-F99; G00-G99)

  • Anxiety disorders
  • Depression
  • Insomnia (sleep disorders)
  • Panic disorder
  • Somatoform disorder – form of mental illness that leads to physical symptoms without physical findings to be collected
  • Stress and stressful situations

Symptoms and abnormal clinical and laboratory findings not elsewhere classified (R00-R99).

  • Fever

Further

Medication