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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Hands And Shoulder Tremor With A Normal Heart Rate?

Hi, I'm a 23 year old female, 4'5" and 118 lbs, very active and an overall health nut. I don't smoke, eat fast food or junk, and avoid caffeine like the plauge. In the past 6 months my blood pressure has leaned towards the lower hypertension range, but has never been any concern for me or my doctor. For the past week or so, however, I have felt "jittery", with an uncontrollable tremor in my hands and shoulders. After expressing my concerns to the pharmacist I work with, she made me sit for a few minutes, then took my blood pressure. It was 137/90 with a normal heart rate. Should this raise concern, and any shot in the dark as to what might be causing this?
Tue, 20 Jun 2017
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Cardiologist 's  Response
Hello!

Welcome on HCM!

I passed carefully through your question and would explain that your symptoms could be related to thyroid dysfunction or any other metabolic disorder.

For this reason, I would recommend consulting with your attending physician and performing some tests:

- a resting ECG
- complete blood count for anemia
- thyroid hormone levels for thyroid dysfunction
- blood electrolytes for possible imbalance
- vitamin D levels for possible deficiency.

Further tests may be needed ( an EEG to exclude seizures).

Hope you will find this answer helpful!

Wishing good health,

Dr. Iliri
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What Causes Hands And Shoulder Tremor With A Normal Heart Rate?

Hello! Welcome on HCM! I passed carefully through your question and would explain that your symptoms could be related to thyroid dysfunction or any other metabolic disorder. For this reason, I would recommend consulting with your attending physician and performing some tests: - a resting ECG - complete blood count for anemia - thyroid hormone levels for thyroid dysfunction - blood electrolytes for possible imbalance - vitamin D levels for possible deficiency. Further tests may be needed ( an EEG to exclude seizures). Hope you will find this answer helpful! Wishing good health, Dr. Iliri