VHOSPITAL.CLINIC · Medical Q&A

What Causes Dizziness and Palpitations Together?

Medical causes of dizziness and palpitations occurring simultaneously — 10 conditions share both symptoms, with red flags and when to seek care.

Quick Answer

The most common causes of dizziness and palpitations together include Hypertension and Anxiety Disorder.

What It Means

When dizziness and palpitations occur at the same time, a shared underlying condition is usually responsible. 10 medical conditions are known to produce this symptom combination.

Key Factors

  • SVT with pre-syncope from transient hypoperfusion
  • Paroxysmal AF with rapid ventricular response and dizziness
  • Ventricular tachycardia with hemodynamic compromise
  • Orthostatic hypotension with reflex tachycardia
  • Hypoglycemia with sympathetically-driven palpitations and lightheadedness

Common Causes

  • SVT with pre-syncope from transient hypoperfusion
  • Paroxysmal AF with rapid ventricular response and dizziness
  • Ventricular tachycardia with hemodynamic compromise
  • Orthostatic hypotension with reflex tachycardia
  • Hypoglycemia with sympathetically-driven palpitations and lightheadedness

Red Flags — When to Act

  • Prolonged palpitations > 30 seconds with persistent dizziness
  • Near-syncope or syncope during a palpitation episode
  • Irregular pulse during dizziness episode (AF)
  • Palpitations triggered by exercise with severe dizziness
  • Chest discomfort accompanying palpitations and dizziness

When to See a Doctor

  • Ambulatory ECG monitoring if symptoms are paroxysmal
  • Emergency evaluation if symptoms are prolonged or severe
  • Blood glucose check to exclude hypoglycemia immediately
  • Tilt-table test for suspected orthostatic hypotension

Related Conditions

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Related Resources

Symptom Guides

Three-Symptom Patterns

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Medical Review— vHospital Editorial Team · 2024–2025
Sources:WHOPubMedUpToDateNICE