title: Treatment of mitral valve prolapse and panic disorder with metoprolol.
abstract: The prevalence of mitral valve prolapse (MVP) and panic disorder (PD) has been reported to range from 0-50% depending on the respective diagnostic manuals and described selection criteria. We report the case of a 44-year-old patient suffering from both panic disorder and mitral valve prolapse. While antidepressants did not result in any improvement of panic symptoms, a fast remission was achieved by treating the patient with metoprolol. This case report suggests that betablockers might represent a useful tool in the treatment of panic disorder and mitral valve prolapse.
authors.affiliation: Department of Psychiatry, Ludwig Maximilian University, Nussbaumstrasse 7, 80336 Munich, Germany. zwanzger@psy.med.uni-muenchen.de
authors.forename: P
authors.initials: P
authors.lastname: Zwanzger
authors.forename: T
authors.initials: T
authors.lastname: Baghai
authors.forename: C
authors.initials: C
authors.lastname: Schule
authors.forename: R
authors.initials: R
authors.lastname: Rupprecht
mesh_terms: D018759:Adrenergic Uptake Inhibitors / Q000627:therapeutic use*; D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use*; D000328:Adult; D006801:Humans; D007099:Imipramine / Q000627:therapeutic use*; D008297:Male; D008790:Metoprolol / Q000627:therapeutic use*; D008945:Mitral Valve Prolapse / Q000150:complications* / Q000188:drug therapy*; D016584:Panic Disorder / Q000150:complications* / Q000188:drug therapy*
chemical_list: D018759:Adrenergic Uptake Inhibitors; D000319:Adrenergic beta-Antagonists; D008790:Metoprolol; D007099:Imipramine