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Depression masked as paroxysmal hypertension episodes
Dimitris P Papadopoulos1, Iordanis Mourouzis, Vassilis Votteas
1Hypertension Clinic, Laiko University Hospital, 24 Agiou Ioannou Theologou Street,15561 Athens, Greece. jimpapdoc@yahoo.com
Blood Pressure
|November 26, 2009
Summary
Intermittent hypertension, often misdiagnosed as pseudopheochromocytoma or panic attacks, requires specialized care. Collaborative management involving hypertension specialists and mental health professionals improves patient outcomes.
Area of Science:
- Cardiology
- Psychiatry
Background:
- Paroxysmal or intermittent hypertension is a common presentation in specialized hypertension clinics.
- Patients are often given various diagnostic labels, including pseudopheochromocytoma and panic attacks.
Observation:
- This clinical picture is distinct from pheochromocytoma-related hypertension.
- The paper reviews the clinical features, pathophysiology, diagnosis, and treatment of these syndromes.
Findings:
- Successful management may involve a multidisciplinary approach.
- Collaboration between hypertension specialists and psychiatrists or psychologists is recommended.
Implications:
- Integrated care models can improve outcomes for patients with intermittent hypertension.
- Cognitive-behavioral therapy, stress reduction, and pharmacotherapy for panic disorder are key treatment components.
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