[Panic disorder in clinical picture of ischemic heart disease]

The article reports a case of ischemic heart disease (IHD) diagnosed in a patient admitted to hospital because of recurrent paroxysms of panic disorder. Clinical follow-up determined some significant risk factors of IHD, the clinical picture of which was overlapped by dominating anxiophobic and tanatophobic syndrome. Diagnosis of IHD and coronary atherosclerosis was made at radionuclide single photon computed tomography of the myocardium, which had detected hypoperfusion of the posteroseptal left ventricle, followed by coronaroventriculography. This case illustrates the necessity of the integrative (psychosomatic) approach to diagnosis and choice of treatment policy.