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Panic attacks are characterized by a sudden onset of intense fear or discomfort, often accompanied by a variety of physical and psychological symptoms. Symptoms such as trembling, palpitations, and hyperventilation are common manifestations during a panic attack.

Trembling can occur as a physiological response to fear or anxiety, often due to the rush of adrenaline. Palpitations are related to the heart's reaction during panic, where individuals may feel their heart racing. Hyperventilation happens because people often breathe rapidly and shallowly when they feel panic, which can contribute to feelings of lightheadedness or dizziness.

Confusion, while it can happen as a result of anxiety or panic, is not one of the core symptoms typically listed in the context of a panic attack. The primary features revolve around the physical sensations and feelings of terror rather than cognitive effects like confusion. Therefore, confusion is less commonly categorized as a direct symptom associated with panic attacks compared to the others listed.