Panic Disorder: A Frequent Occurrence in Patients with Chest Pain and Normal Coronary Arteries

Mukerji, Vaskar; Beitman, Bernard D.; Alpert, Martin A.; Lamberti, Joseph W.; DeRosear, Lori; Basha, Imad M.
March 1987
Angiology;Mar1987, Vol. 38 Issue 3, p236
Academic Journal
From 10% to 20% of patients undergoing coronary arteriography for chest pain are subsequently found to have normal coronary arteries. We investigated the prevalence of panic disorder in these patients in a two-stage study. Our results indicate that approximately one third of patients with chest pain and angiographically normal coronary arteries have panic disorder. Proper diagnosis and treatment of these patients with panic disorder may be expected to substantially reduce their psychosocial morbidity.


Related Articles

  • An unusual cause of chest pain and ST segment elevation. Asherson, A. P.; Ilsley, C. D. J.; Mittal, T. K. // Heart;Jan2006, Vol. 92 Issue 1, p100 

    The article presents information on causes of chest pain and ST segment elevation. A 22 year old naval serviceman is presented with a six day history of retrosternal chest pain and ST segment elevation. The chest pain was not typically ischaemic, nor did the patient have risk factors for...

  • Typical angina with an atypical diagnosis. McElhannon, Mark A. // Cortlandt Forum;Oct2007, Vol. 20 Issue 10, p42 

    The article features several diagnostic examinations for a patient with unusual coronary arteries. One patient has complained about her chest pressure. The pressure has occurred after 20-25 minutes after the exercise. She consulted to a specialist and prescribed an anti-inflammatory treatments....

  • IMAGES IN CARDIOLOGY: Saccular dilatations originating form the conus artery. Yazici, M.; Demircan, S.; Yasar, E. // Heart;Aug2004, Vol. 90 Issue 8, p915 

    A 58 year old man was admitted with a complaint of chest pain upon exertion during the previous 10 days. The patient was hospitalised with a diagnosis of unstable angina. Following stabilization with medical treatment, coronary angiography was performed. In the right coronary artery (RCA),...

  • CO2 Provocation of Panic: Symptomatic and Manometric Evaluation in Patients with Noncardiac Chest Pain. Stollman, Neil H.; Bierman, Paul S.; Ribiero, Alfonso; Rogers, Arvey I. // American Journal of Gastroenterology;May1997, Vol. 92 Issue 5, p839 

    Objectives: Occult panic disorder (PD) may underlie 10-43% of chest pain syndromes in patients with normal coronary arteries. A variety of agents, such as intravenous lactate, oral caffeine, and inhaled CO2, has been identified that may provoke panic attacks in susceptible patients. The aims of...

  • Ostial stenosis of the left main coronary artery as the result of the previous percutaneous coronary intervention on the left coronary artery. Mencel, Grzegorz; Kowalczyk, Jacek; Swierad, Marcin; Swiatkowski, Andrzej; Honisz, Grzegorz; Kalarus, Zbigniew; Sredniawa, Beata // Advances in Interventional Cardiology;2013, Vol. 9 Issue 3, p317 

    A 76-year-old patient was admitted to hospital due to recurrent chest pain. Angiography revealed multivessel coronary artery disease with significant stenosis in medial and distal parts of the left main coronary artery (LMCA). Two drug-eluting stents (DES) were implanted from the medial part of...

  • Coronary angiography enhancement for visualization. Shengxian Tu; Koning, Gerhard; Tuinenburg, Joan C.; Jukema, Wouter; Su Zhang; Yazhu Chen; Reiber, Johan H. C. // International Journal of Cardiovascular Imaging;Oct2009, Vol. 25 Issue 7, p657 

    High quality visualization on X-ray angiograms is of great significance both for the diagnosis of vessel abnormalities and for coronary interventions. Algorithms for improving the visualization of detailed vascular structures without significantly increasing image noise are currently demanded in...

  • Multi-slice computed tomography in coronary artery disease Jones, Catherine M.; Athanasiou, Thanos; Dunne, Nicola; Kirby, Joanne; Attaran, Saina; Chow, Andre; Purkayastha, Sanjay; Darzi, Ara // European Journal of Cardio-Thoracic Surgery;Sep2006, Vol. 30 Issue 3, p443 

    Summary: Multi-slice computed tomography technology is emerging as a realistic investigation in patients with suspected disease in native, stented or grafted coronary arteries. A non-invasive diagnostic tool is desirable as these patients are at high risk for complications of invasive...

  • "Acute Takeoff" of the Circumflex Artery. Angelini, Paolo; Trujillo, Alexander; Sawaya, Fadi; Vei-Vei Lee // Texas Heart Institute Journal;2008, Vol. 35 Issue 1, p28 

    Human coronary anatomy allows for a wide range of anatomic variants while maintaining certain consistent features. The use of specific descriptions and names is helpful in talking about variants that have an implicit potential for clinical consequences. In reviewing the angiograms of 813...

  • Prevalence of coronary artery disease across the Framingham risk categories: coronary artery calcium scoring and MSCT coronary angiography. Nucifora, Gaetano; Schuijf, Joanne D.; van Werkhoven, Jacob M.; Jukema, J. Wouter; Djaberi, Roxana; Scholte, Arthur J. H. A.; de Roos, Albert; Schalij, Martin J.; van der Wall, Ernst E.; Bax, Jeroen J. // Journal of Nuclear Cardiology;May2009, Vol. 16 Issue 3, p368 

    Background: Non-invasive assessment of subclinical atherosclerosis by means of coronary artery calcium scoring (CACS) and multi-slice computed tomography (MSCT) coronary angiography could improve patients' risk stratification. However, data relating observations on CACS and MSCT coronary...


Read the Article


Sign out of this library

Other Topics