Panic disorder and the heart: a cardiology perspective

Author(s): Dorian, P., Newman, D. M.

Journal/Book: J Psychosom Res. 2000; 48: the Boulevard Langford Lane, Kidlington, Oxford Ox5 1GB, England. Pergamon-Elsevier Science Ltd. 393-403.

Abstract: Panic disorder is a common condition that includes symptoms that may masquerade as a primary cardiovascular disorder. In addition, many patients with cardiovascular disease may also have panic disorder. To date, no definitive pathophysiological mechanism for panic disorder has been found; however, there are several hypotheses in the literature. Patients with syndrome X, coronary artery disease and/or palpitations, in addition to panic disorder all present to cardiologists. How ever, many patients go undiagnosed and ultimately place large costs on the health care system as a result. Panic disorder is a treatable condition, and cardiologists could easily identify patients with panic disorder and initiate appropriate therapy and/or referral.

Note: Review Newman DM, St Michaels Hosp, Div Cardiol, 30 Bond St, 7-051 Queen, Toronto, ON M5B 1W8, CANADA

Keyword(s): panic disorder; clinical cardiology; palpitations; perspective; NORMAL CORONARY ARTERIOGRAMS; MITRAL-VALVE PROLAPSE; NONCARDIAC CHEST PAIN; GENERAL HEALTH-CARE; FOLLOW-UP; ARTERY DISEASE; DOUBLE-BLIND; CLINICAL COURSE; SYNDROME-X; PSYCHOLOGICAL-PROBLEMS

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