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Panic disorder in cardiology patients.

B D Beitman1, V Mukerji, M Alpert

  • 1Department of Psychiatry, University Hospital, University of Missouri, Columbia.

Psychiatric Medicine
|January 1, 1990
PubMed
Summary

Panic disorder is common and often missed in cardiology patients, particularly those with atypical angina and mitral valve prolapse (MVP). Further research is needed for other cardiac conditions.

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Area of Science:

  • Cardiology
  • Psychiatry
  • Psychosomatic Medicine

Background:

  • Panic disorder is frequently observed in cardiology patients.
  • It is often underdiagnosed in these populations.
  • Atypical presentations of cardiac conditions may mask panic disorder.

Purpose of the Study:

  • To review evidence on the prevalence of panic disorder in cardiology patients.
  • To identify specific cardiology populations at higher risk for panic disorder.
  • To highlight the need for further investigation into panic disorder in cardiac conditions.

Main Methods:

  • Review of current evidence from multiple cardiology patient groups.
  • Analysis of studies examining panic disorder in patients with atypical angina and no heart disease.
  • Evaluation of data on panic disorder in patients with mitral valve prolapse (MVP).

Main Results:

  • Patients with atypical angina and no diagnosed heart disease show a high likelihood of panic disorder.
  • These patients often respond positively to alprazolam, similar to psychiatric panic populations.
  • Evidence suggests a link between mitral valve prolapse (MVP) and panic disorder.

Conclusions:

  • Panic disorder is prevalent and underdiagnosed in cardiology patients.
  • Further research should focus on patients with pacemaker syndrome, coronary artery disease with atypical angina, and certain arrhythmias.
  • Recognition and diagnosis of panic disorder are crucial in cardiac care.

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