Cardiac Disease and Nonorganic Chest Pain: Factors Leading to Disability

Chernen, Leslie; Friedman, Steven; Goldberg, Nieca; Feit, Alan; Kwan, Tak; Stein, Reuven

doi:10.1159/000176824

Cited by 14 publications

(3 citation statements)

References 26 publications

(39 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, 3 studies 17,18,42 conducted in emergency departments were sufficiently similar to combine. Table 4 presents the studies 17,18,22,24,33,35,52,53 that investigated the association between CAD and panic disorder, which were conducted on patients with chest pain in emergency departments or cardiology settings. There were insufficient population-based or primary care studies to summarize.…”

Section: Dsm-iv Criteria For Diagnosis Of Panic Disordermentioning

confidence: 99%

Panic & Plaques: Panic Disorder & Coronary Artery Disease in Patients with Chest Pain

Katerndahl

2004

The Journal of the American Board of Family Medicine

View full text Add to dashboard Cite

Background:The purpose of this systematic review was to identify characteristics of the chest pain associated with the presence of panic disorder, to determine the strength of the association between panic disorder and coronary artery disease (CAD), and to determine the association between panic disorder and known cardiovascular risk factors.Methods: Potential studies were identified via computerized search using MEDLINE and PSYCINFO databases, and review of bibliographies. MeSH headings used included "panic disorder" with "chest pain," "panic disorder" with "coronary disease or cardiovascular disorders or heart disorders," and "panic disorder" with "cholesterol or essential hypertension or tobacco smoking." Studies had to base their diagnosis of panic disorder on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, and objective criteria of CAD and risk factors had to be used. Only case-control and cohort studies were included.Results

show abstract

Section: Dsm-iv Criteria For Diagnosis Of Panic Disordermentioning

confidence: 99%

Panic & Plaques: Panic Disorder & Coronary Artery Disease in Patients with Chest Pain

Katerndahl

2004

The Journal of the American Board of Family Medicine

View full text Add to dashboard Cite

show abstract

“…From a patient’s perspective, chest pain can be disabling and these symptoms can result in patients not being able to return to previous levels of activity. 3 In addition, they may be anxious that the symptoms may worsen or cause a heart attack or death. This creates psychological distress knowing that something is wrong, but not knowing what it is.…”

Section: Perspectives In the Diagnostic Pathway Of Chest Painmentioning

confidence: 99%

Patient, Clinician, and Healthcare Perspectives in Evaluating Care Pathways for Stable Chest Pain

Kwok

Duckett

Satchithananda

et al. 2021

Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine

View full text Add to dashboard Cite

Chest pain is one of the most common reasons for patients to present to healthcare professionals. One of the main challenges with the management of chest pain is the wide differential diagnosis, ranging from minor chest trauma to potentially life-threatening acute myocardial infarction. In a patient-centered health service pathway, the aim is to assess, investigate, diagnose, and treat patients in the safest and most accurate, time, and costefficient manner. This report describes the concept of clinical pathways and their importance. It iterates different perspectives of the investigation of chest pain and the barriers to understanding the clinical sequence of events. By considering the patient, clinician, and healthcare service perspective, it is possible to critically evaluate the current stable chest pain pathway. This exercise gives consideration into the way in which patient care could be improved.

show abstract

“…This conclusion was echoed in other various small-scale studies of patients with CHD, where rates of panic disorder have ranged from 11% to 27%. [17][18][19] (ii) Pathophysiology (Fig. 1)…”

Section: Findings (I) Correlation In Epidemiologymentioning

confidence: 99%

Panic Attack and its Correlation with Acute Coronary Syndrome – More Than Just a Diagnosis of Exclusion

Soh

Liu

2010

Ann Acad Med Singap

View full text Add to dashboard Cite

The panic attack is able to mimic the clinical presentation of an acute coronary syndrome (ACS), to the point of being clinically indistinguishable without appropriate investigations. However, the literature actually demonstrates that the 2 conditions are more related than just being differential diagnoses. Through a review of the literature involving epidemiological studies, randomised controlled trials, systematic reviews and meta-analyses found on a Medline search, the relation between panic disorder and ACS is explored in greater depth. Panic disorder, a psychiatric condition with recurrent panic attacks, has been found to be an independent risk factor for subsequent coronary events. This has prognostic bearing and higher mortality rates. Through activation of the sympathetic system by differing upstream mechanisms, the 2 conditions have similar presentations. Another psychiatric differential diagnosis would be that of akathisia, as an adverse effect to antidepressant medications. An overview on the investigations, diagnostic process, treatment modalities and prognoses of the two conditions is presented. Panic disorders remain under-diagnosed, but various interviews are shown to allow physicians without psychiatric training to accurately pick up the condition. Comprehensive multidisciplinary approaches are needed to help patients with both coronary heart disease and anxiety disorder. Key words: Angina, Myocardial infarction, Panic disorder

show abstract

Cardiac Disease and Nonorganic Chest Pain: Factors Leading to Disability

Cited by 14 publications

References 26 publications

Panic & Plaques: Panic Disorder & Coronary Artery Disease in Patients with Chest Pain

Panic & Plaques: Panic Disorder & Coronary Artery Disease in Patients with Chest Pain

Patient, Clinician, and Healthcare Perspectives in Evaluating Care Pathways for Stable Chest Pain

Panic Attack and its Correlation with Acute Coronary Syndrome – More Than Just a Diagnosis of Exclusion

Contact Info

Product

Resources

About