Multi-Symptom Decision Tree

Palpitations + Anxiety

Symptoms: Heart palpitations · Anxiety · Chest tightness · Lightheadedness. Likely cause: Peri/menopause vasomotor, hyperthyroid, or panic disorder.

Likely cause

Peri/menopause vasomotor, hyperthyroid, or panic disorder

See condition page →

First steps

  1. TSH + free T4 (rule out hyperthyroid)
  2. EKG if new-onset
  3. 24h Holter monitor
  4. Caffeine + alcohol track

Treatment options

  • HRT (if related to VMS)
  • Beta-blocker low-dose
  • Therapy for anxiety
  • Reduce caffeine

When to see doctor

Palpitations with chest pain, syncope, or resting heart rate >100. ER if severe.

Browse providers for Peri/menopause vasomotor, hyperthyroid, or panic disorderTake the matcher

Other symptom combinations

Hot Flashes + Sleep DisruptionBrain Fog + Mood ChangesWeight Gain + FatigueIrregular Periods + AcneLow Libido + Vaginal DrynessJoint Pain + Muscle LossHair Loss + FatigueHeavy Bleeding + Anemia

Informational only — a symptom pattern is not a diagnosis. Only a clinician can diagnose the cause of your symptoms.