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Screening for Hypertrophic Obstructive Cardiomyopathy in Patients With Panic Disorder: A Case Report

Thomas Bonitz1, Luke Scypinski1, Justin Chin2,1

  • 1Medical Education, Lake Erie College of Osteopathic Medicine, Erie, USA.

Cureus
|December 29, 2022
PubMed

Insights

Hypertrophic obstructive cardiomyopathy (HOCM) can mimic panic disorder symptoms. Early diagnosis through genetic screening is crucial for appropriate HOCM management and preventing sudden cardiac death.

Area of Science:

  • Cardiology
  • Genetics
  • Psychiatry

Background:

  • Hypertrophic obstructive cardiomyopathy (HOCM) is an inherited cardiovascular disease causing cardiac dysfunction.
  • It presents with symptoms like dyspnea and exercise intolerance, potentially leading to sudden death.
  • Panic disorder shares similar symptoms but requires different management.

Observation:

  • A 56-year-old male with a history of panic disorder presented with palpitations, lightheadedness, and dyspnea.
  • He was hospitalized for ventricular tachyarrhythmia, leading to an HOCM diagnosis.
  • This case underscores symptom overlap between HOCM and panic disorder.

Findings:

  • The patient's symptoms were initially attributed to panic disorder.
  • Further investigation revealed underlying HOCM, complicated by ventricular tachyarrhythmia.
  • This highlights diagnostic challenges when conditions present similarly.

Implications:

  • Emphasizes the need for thorough patient history and chronic symptom follow-up.
  • Suggests considering genetic screening for HOCM in patients with panic disorder.
  • Underscores the critical differences in HOCM and panic disorder treatment and precautions.

Keywords:
aha/acaechocardiogram (echo)electrocardiogram (ecg/ekg)hocm screeninghypertrophic obstructive cardiomyopathy (hocm)left ventricular hypertrophy (lvh)left ventricular outflow obstruction (lvot)panic disorderssudden cardiac death (scd)ventricular tachycardia (vt)

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