Panic disorder in patients with chest pain and angiographically normal coronary arteries

Beitman, Bernard D.; Mukerji, Vaskar; Lamberti, Joseph W.; Schmid, Lynette; DeRosear, Lori; Kushner, Matt G.; Flaker, Greg; Basha, Imad

doi:10.1016/0002-9149(89)91056-4

Cited by 184 publications

(77 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…9 In emergency department patients with acute chest pain, angina was most common in those patients with both panic disorder and acute ischemia. 17 However, there are studies that have either failed to find an association between panic disorder and angina 72 or have found no difference in the prevalence of angina and atypical angina (19%) in patients with panic disorder. 33 Thus, although certain atypical features may suggest panic disorder, many of the characteristics classically associated with CAD are common in patients with panic disorder or anxiety.…”

Section: Characteristics Of Chest Pain In Panic Disordermentioning

confidence: 99%

Panic & Plaques: Panic Disorder & Coronary Artery Disease in Patients with Chest Pain

Katerndahl

2004

The Journal of the American Board of Family Medicine

View full text Add to dashboard Cite

Background:The purpose of this systematic review was to identify characteristics of the chest pain associated with the presence of panic disorder, to determine the strength of the association between panic disorder and coronary artery disease (CAD), and to determine the association between panic disorder and known cardiovascular risk factors.Methods: Potential studies were identified via computerized search using MEDLINE and PSYCINFO databases, and review of bibliographies. MeSH headings used included "panic disorder" with "chest pain," "panic disorder" with "coronary disease or cardiovascular disorders or heart disorders," and "panic disorder" with "cholesterol or essential hypertension or tobacco smoking." Studies had to base their diagnosis of panic disorder on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, and objective criteria of CAD and risk factors had to be used. Only case-control and cohort studies were included.Results

show abstract

Section: Characteristics Of Chest Pain In Panic Disordermentioning

confidence: 99%

Panic & Plaques: Panic Disorder & Coronary Artery Disease in Patients with Chest Pain

Katerndahl

2004

The Journal of the American Board of Family Medicine

View full text Add to dashboard Cite

show abstract

“…[11][12][13] This makes PD 30 to 50 times more common in non-cardiac chest pain patients than in the overall population. 14 PD is a serious, debilitating anxiety disorder that if left untreated often has a chronic course and may lead to the development of other psychiatric conditions such as agoraphobia, depression and substance abuse disorders.…”

Section: Introductionmentioning

confidence: 99%

Two-year follow-up status of emergency department patients with chest pain: Was it panic disorder?

Fleet

Lavoie

Martel

et al. 2003

CJEM

Self Cite

View full text Add to dashboard Cite

Objectives:We previously reported that 25% (108/441) of consecutive patients presenting to the emergency department (ED) of the Montreal Heart Institute with a chief complaint of chest pain suffered from panic disorder (PD). The purpose of the present study was to re-examine these patients (with and without PD) 2 years after their initial ED visit to determine their psychiatric and psychosocial status. Methods: An interviewer, who was kept blind to patients' initial medical and psychiatric diagnoses, attempted to contact all patients who participated in the initial study by phone. Patients who completed the phone interview were sent a battery of psychological questionnaires by mail. Results: A total of 301 (70%) patients completed the phone interview, and 228 (52%) patients completed the self-report questionnaires. Participants and non-participants did not differ with respect to age, gender, initial self-report scores, or initial cardiac or psychiatric diagnoses. At follow-up, significantly (p < 0.05) more PD+ than non-PD (PD-) patients reported: 1) chest pains in the last month (57% vs. 31%); 2) one or more ED consultations in the past year for chest pain (40% vs. 14%); 3) one or more hospitalizations in the past year (31% vs. 11%); and 4) perceiving their general health as "poor" (22% vs. 9%). PD+ patients displayed a significant (p < 0.05) worsening of their panic symptoms, agoraphobic avoidance, depression, and trait anxiety, and reported significantly (p < 0.05) greater suicidal ideation compared to PD-patients (32% vs. 9%). Of all PD+ patients, only 22% (18/82) reported receiving some form of mental health treatment for their symptoms. Conclusions: Unrecognized and untreated PD has a chronic and disabling course. Greater efforts should be made to screen for PD in patients complaining of chest pain in EDs. RÉSUMÉ Objectifs :Dans un article antérieur, nous avons signalé que 25 % (108/441) des patients consécu-tifs reçus à l'urgence de l'Institut de cardiologie de Montréal dont la raison de consultation était une douleur thoracique souffraient d'un trouble panique (TP). La présente étude avait comme objectif de réexaminer ces patients (avec et sans TP) deux ans après leur visite initiale à l'urgence afin de déterminer leur statut psychiatrique et psychosocial. Méthodes : Un enquêteur à qui les diagnostics médicaux et psychiatriques initiaux des patients ne furent pas révélés, tenta de contacter par téléphone tous les patients ayant participé à l'étude initiale. Les patients ayant répondu à l'entrevue téléphonique reçurent une batterie de questionnaires psychologiques par la poste.

show abstract

“…Panic disorder (PD) is the anxiety disorder most frequently associated with chest pain as it occurs in 10 to 60 % of chest pain patients with or without coronary artery disease in cardiology clinics or emergency departments (11)(12)(13)(14). Cross sectional studies of PD in chest pain patients have reported associations with high psychological distress, high rates of comorbid psychiatric disorders, suicidal ideation, work disability, quality of life impairment and high medical utilization (12)(13)(14).…”

mentioning

confidence: 99%

“…Cross sectional studies of PD in chest pain patients have reported associations with high psychological distress, high rates of comorbid psychiatric disorders, suicidal ideation, work disability, quality of life impairment and high medical utilization (12)(13)(14). However, there is a lack of longitudinal studies of chest pain patients with PD.…”

mentioning

confidence: 99%

A 1-year follow-up study of chest-pain patients with and without panic disorder

Dammen

Bringager

Arnesen

et al. 2006

General Hospital Psychiatry

View full text Add to dashboard Cite

Panic disorder in patients with chest pain and angiographically normal coronary arteries

Cited by 184 publications

References 18 publications

Panic & Plaques: Panic Disorder & Coronary Artery Disease in Patients with Chest Pain

Panic & Plaques: Panic Disorder & Coronary Artery Disease in Patients with Chest Pain

Two-year follow-up status of emergency department patients with chest pain: Was it panic disorder?

A 1-year follow-up study of chest-pain patients with and without panic disorder

Contact Info

Product

Resources

About