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Chest pain: panic attack or heart attack?

J P Potokar1, D J Nutt

  • 1Psychopharmacology Unit, School of Medical Sciences, University of Bristol, UK.

International Journal of Clinical Practice
|May 29, 2000
PubMed
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Chest pain is often not heart-related. Recognizing panic attacks in patients with chest pain is crucial for accurate diagnosis and appropriate treatment, avoiding unnecessary healthcare costs.

Area of Science:

  • Psychiatry
  • Cardiology
  • General Practice

Background:

  • Chest pain is a frequent symptom encountered by physicians, frequently stemming from non-cardiac origins.
  • Panic attacks can mimic cardiac chest pain, leading to potential misdiagnosis and significant healthcare resource utilization.
  • Panic disorder is a serious psychiatric condition associated with functional impairment and increased suicide risk, often comorbid with other mental health conditions.

Purpose of the Study:

  • To review the prevalence and diagnostic considerations of panic attacks and panic disorder in patients presenting with chest pain.
  • To differentiate panic attacks from cardiac disease in primary and secondary care settings.
  • To discuss current and emerging treatment options for panic disorder.

Main Methods:

Related Experiment Videos

  • Literature review focusing on panic attack and panic disorder in patients with chest pain.
  • Analysis of diagnostic criteria and clinical presentations.
  • Evaluation of treatment strategies, including pharmacotherapy.

    • Main Results:

    • Panic attacks are a common cause of non-cardiac chest pain.
    • Accurate identification of panic disorder is essential to prevent misdiagnosis of cardiac conditions.
    • Selective serotonin reuptake inhibitors (SSRIs) are increasingly recognized as a first-line treatment for panic disorder.

    Conclusions:

    • Distinguishing panic attacks from cardiac chest pain is vital for effective patient management and resource allocation.
    • Early recognition and treatment of panic disorder can improve patient outcomes and reduce healthcare burdens.
    • SSRIs represent a promising therapeutic option for panic disorder in patients presenting with chest pain.