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Panic disorder and the heart: a cardiology perspective
F M Jeejeebhoy1, P Dorian, D M Newman
1Division of Cardiology, St. Michael's Hospital, 30 Bond Street, #7-051 Queen, M5B 1W8, Toronto, ON, Canada.
Journal of Psychosomatic Research
|July 6, 2000
Summary
Panic disorder often mimics heart problems, affecting many cardiovascular disease patients. Early identification by cardiologists can lead to effective treatment and reduce healthcare costs.
Area of Science:
- Cardiology
- Psychiatry
- Internal Medicine
Background:
- Panic disorder symptoms can mimic primary cardiovascular disorders.
- Patients with cardiovascular disease frequently have co-occurring panic disorder.
- The underlying pathophysiology of panic disorder remains unclear, with multiple hypotheses proposed.
Purpose of the Study:
- To highlight the overlap between panic disorder and cardiovascular conditions.
- To emphasize the diagnostic challenges and healthcare costs associated with undiagnosed panic disorder.
- To advocate for cardiologists' role in identifying and managing panic disorder.
Main Methods:
- Literature review on panic disorder and cardiovascular disease.
- Analysis of patient presentations to cardiology clinics.
- Discussion of diagnostic and treatment implications.
Main Results:
- Patients with Syndrome X, coronary artery disease, or palpitations often present with panic disorder.
- Many cases of panic disorder in cardiac patients remain undiagnosed.
- Undiagnosed panic disorder contributes significantly to healthcare system costs.
Conclusions:
- Panic disorder is a treatable condition.
- Cardiologists are well-positioned to identify patients with panic disorder.
- Timely diagnosis and referral/treatment by cardiologists can improve patient outcomes and reduce healthcare expenditure.