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 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.
Beitman
B D
BD
Department of Psychiatry, University Hospital, University of Missouri, Columbia 65212.
Mukerji
V
V
Russell
J L
JL
Grafting
M
M
D000328:Adult; D000368:Aged; D002637:Chest Pain / Q000175:diagnosis / Q000523:psychology*; D017023:Coronary Angiography; D003327:Coronary Disease / Q000175:diagnosis / Q000523:psychology*; D004185:Disability Evaluation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009449:Neurocirculatory Asthenia / Q000175:diagnosis / Q000523:psychology*; D016584:Panic Disorder / Q000175:diagnosis / Q000523:psychology*; D012803:Sick Role