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[Panic disorder and angina pectoris].

Markus Prenninger1, Georg Giefing, Johann Auer

  • 1II. Interne Abteilung mit Kardiologie und Internistischer Intensivmedizin des Allgemeinen Krankenhauses der Barmherzigen Schwestern vom Heiligen Kreuz, Wels, Osterreich. markusprenninger@gmx.at

Acta Medica Austriaca
|July 21, 2004
PubMed
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Panic attacks can cause chest pain, mimicking heart issues. Integrated medical and psychiatric evaluation is crucial for accurate diagnosis and efficient patient care, especially in complex cases.

Area of Science:

  • Cardiology
  • Psychiatry
  • Internal Medicine

Background:

  • Noncardiac chest pain is often attributed to panic attacks.
  • Separating medical and psychiatric evaluations may hinder efficient diagnosis.

Observation:

  • A 56-year-old female with cardiovascular risk factors and symptoms of unstable angina underwent coronary arteriography.
  • The patient presented with a 20-year history of symptoms suggestive of cardiac pathology and possible psychiatric involvement.

Findings:

  • Coronary angiography results were complemented by a modified SCID interview.
  • This integrated diagnostic approach led to a definitive diagnosis.

Implications:

  • Highlights the importance of a combined medical and psychiatric approach in diagnosing complex chest pain cases.

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  • Suggests that a multidisciplinary diagnostic strategy can improve patient outcomes and diagnostic efficiency.