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Panic disorder associated with mitral valve prolapse: psychosomatic implications
1Champlain Valley-Physicians Hospital Medical Center, Plattsburgh, N.Y.
Psychotherapy and Psychosomatics
|January 1, 1987
Summary
Mitral valve prolapse syndrome (MVPS) patients show higher anger and rage symptoms during panic attacks compared to panic disorder and agoraphobia. These findings aid in distinguishing MVPS, which carries cardiac and neurological risks.
Area of Science:
- Cardiology
- Psychiatry
- Clinical Psychology
Background:
- Mitral valve prolapse syndrome (MVPS) is associated with potentially severe cardiac and neurological complications.
- Distinguishing MVPS from panic disorder and agoraphobia is clinically significant due to these risks.
Purpose of the Study:
- To identify potential clinical psychiatric differences between panic disorder, agoraphobia with panic attacks, and MVPS.
- To explore the clinical utility of differentiating these conditions.
Main Methods:
- A longitudinal clinical study was conducted, with findings from the second part presented.
- 100 patients were assessed, including 36 with documented MVPS, comparing them to patients with panic disorder and agoraphobia.
Main Results:
- Patients with MVPS exhibited significantly higher frequencies of anger and rage symptoms during panic attacks compared to the other two groups.
- Fear of losing control during attacks was not significantly different between groups in this part of the study.
- No other significant psychological differences were observed between the three groups.
Conclusions:
- Anger and rage symptoms during panic attacks may serve as a distinguishing feature for Mitral Valve Prolapse Syndrome.
- Further investigation into the causes and consequences of these specific symptoms in MVPS is warranted.
- Clinical differentiation of MVPS is important for managing associated health risks.