Panic disorder in cardiology patients: A review of the Missouri panic/cardiology project

This paper reviews current evidence from several cardiology populations that suggests that panic disorder is prevalent and underdiagnosed. Cardiology patients with atypical angina, and no heart disease have a high likelihood of having panic disorder, as suggested by studies of two separate cardiolog...

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Bibliographic Details
Published in:Journal of psychiatric research 1993, Vol.27, p.35-46
Main Authors: Beitman, Bernard D., Mukerji, Vaskar, Russell, Johnna L., Grafing, Melanie
Format: Article
Language:English
Subjects:
Adult
Aged
Chest Pain - diagnosis
Chest Pain - psychology
Coronary Angiography
Coronary Disease - diagnosis
Coronary Disease - psychology
Disability Evaluation
Female
Follow-Up Studies
Humans
Male
Middle Aged
Neurocirculatory Asthenia - diagnosis
Neurocirculatory Asthenia - psychology
Panic Disorder - diagnosis
Panic Disorder - psychology
Sick Role
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Summary:This paper reviews current evidence from several cardiology populations that suggests that panic disorder is prevalent and underdiagnosed. Cardiology patients with atypical angina, and no heart disease have a high likelihood of having panic disorder, as suggested by studies of two separate cardiology populations. That they resemble psychiatric populations with panic is suggested by their positive response to alprazolam. A panic disorder subtype, called non-fear panic disorder also appeared in about one-third of these cardiology panic patients. These patients have most of the panic symptoms but do not report fear during their episodes.
ISSN:0022-3956
1879-1379
DOI:10.1016/0022-3956(93)90016-U