title: Efficacy of atropine combined with paroxetine in vagus nerve excitatory panic disorder.
abstract: Panic disorder is often associated with the autonomic nervous system pattern - sympathetic activation and parasympathetic (vagal) withdrawal. However, we present one special case here to show a totally reversed pathogenesis - vagal activation occupying the leading role, which requires atropine to cure the patient's symptoms. Through this report, it is reasonably proven that panic disorder may be a heterogeneous condition, whose mechanism might be the imbalance between the sympathetic and parasympathetic tone.
authors.affiliation: Department of Psychiatry, West China Hospital, Sichuan University, Chengdu, People's Republic of China.
authors.forename: Na
authors.initials: N
authors.lastname: Du
authors.affiliation: Department of Psychiatry, West China Hospital, Sichuan University, Chengdu, People's Republic of China.
authors.forename: Xue-Li
authors.initials: XL
authors.lastname: Sun
keywords: atropine; bradycardia; panic disorder; vagal activation