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Unexplained chest pain: when is it panic disorder?

R P Fleet1, B D Beitman

  • 1Montreal Heart Institute, Research Center, Quebec, Canada.

Clinical Cardiology
|March 1, 1997
PubMed
Summary
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Noncardiac chest pain is often linked to panic disorder, an anxiety condition. Recognizing and treating panic disorder can improve outcomes for patients with unexplained chest pain.

Area of Science:

  • Cardiology
  • Psychiatry
  • Anxiety Disorders

Background:

  • Noncardiac chest pain (NCCP) is a frequent and expensive issue in cardiology.
  • A significant subset of NCCP patients exhibit panic disorder, a distressing but manageable anxiety condition.

Purpose of the Study:

  • To review the prevalence of panic disorder in cardiology patients with unexplained chest pain.
  • To examine financial, psychosocial, and historical factors of NCCP.
  • To discuss the implications of unrecognized panic disorder and review treatment options.

Main Methods:

  • Literature review of research on panic disorder in NCCP patients.
  • Analysis of financial, psychosocial, and historical aspects of NCCP.
  • Examination of psychological and pharmacological treatments for panic disorder.

Related Experiment Videos

Main Results:

  • Panic disorder is prevalent in patients presenting with unexplained chest pain in cardiology settings.
  • Nonrecognition of panic disorder can have significant consequences for patient care.
  • Effective psychological and pharmacological treatments are available.

Conclusions:

  • Panic disorder is a crucial consideration in the differential diagnosis of noncardiac chest pain.
  • Integrated management strategies are recommended for panic disorder patients within cardiology settings.
  • Early recognition and treatment of panic disorder can mitigate costs and improve patient well-being.