Panic Disorder in Patients Presenting to the Emergency Department With Chest Pain: Prevalence and Presenting Symptoms

Greenslade, Jaimi; Hawkins, Tracey; Parsonage, William; Cullen, Louise

doi:10.1016/j.hlc.2017.01.001

Cited by 9 publications

(9 citation statements)

References 23 publications

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“…An unpublished service evaluation by Wilson et al (2017) found a 1% prevalence of HVS in adult patients presenting to a UK ambulance service. This is comparable to published estimates for A&E departments, which range from 0.3% -6% (Coley et al 2009;Pfortmueller et al 2015;Greenslade et al 2017).…”

Section: Relevance For Pre-hospital Caresupporting

confidence: 90%

Hyperventilation syndrome: diagnosis and reassurance

Wilson

2018

Journal of Paramedic Practice

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This article provides an overview of Hyperventilation Syndrome (HVS). Hyperventilation is defined as breathing in excess of metabolic requirements and in the absence of an underlying organic cause is defined as HVS. Alternative terms used in the literature are panic/anxiety attack, panic/anxiety disorder, dysfunctional breathing or breathing pattern disorder. This article provides an overview of HVS signs and symptoms beyond the familiar symptoms of tachypnoea, chest tightness, paraesthesia and anxiety. The article also discusses differential diagnoses and pre-hospital treatment of HVS, which focuses on reassuring patients and assisting them in establishing a good respiratory pattern. Patients with HVS use a significant amount of hospital and emergency service resources. Paramedics are ideally placed to diagnose and treat HVS pre-hospitally to avoid unnecessary and costly hospital admissions. Further research is needed to evaluate the pre-hospital prevalence and diagnostic accuracy for HVS, identify clear diagnostic criteria and design screening tools.

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Section: Relevance For Pre-hospital Caresupporting

confidence: 90%

Hyperventilation syndrome: diagnosis and reassurance

Wilson

2018

Journal of Paramedic Practice

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“…This might as well apply to our study with a proportion of 58.3%. Also consistent with our results, in a study by Greenslade et al 11 the clinical diagnosis of panic disorder was made in 5.6% of unselected ED patients with chest pain. However, panic disorder prevalence was significantly higher with rates ≥25% in studies examining ED patients presenting for chest pain of noncardiac origin 31 or who were at low to moderate risk for cardiac disease and ACS.…”

Section: Discussionsupporting

confidence: 93%

“…2,3 Previous research has shown that somatic multimorbidity is strongly associated with increased use of emergency departments (EDs), 4,5 and risk of ED admission is exacerbated by the additional coexistence of mental health conditions (MHCs). [6][7][8] However, separating physical and mental health problems is particularly common in the ED, where resources are scarce and comorbid MHCs often go unnoticed and, in consequence, untreated, [9][10][11] especially in older multimorbid patients. 12,13 In particular, the relation between cardiovascular disease (CVD) and MHCs such as depression 14 as well as anxiety disorders like generalized anxiety disorder 15 and panic disorder 16 has been well studied.…”

Section: Introduction Backgroundmentioning

confidence: 99%

Mental health conditions in older multimorbid patients presenting to the emergency department for acute cardiac symptoms: Cross‐sectional findings from the EMASPOT study

Figura

Kuhlmann

Rose

et al. 2021

Academic Emergency Medicine

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“…In these situations there is a high probability that patients' symptoms (especially chest pain) are related to psychological background. Anxiety disorders such as panic disorder, depression and conversion disorders can be evaluated as urgent with non-cardiac chest pain [17]. These disorders are also associated with deterioration of oxidative metabolism as well as with psychopathological mechanisms and also conversion is associated increased neuronal damage [18,19].…”

Section: Discussionmentioning

confidence: 99%

Analysis of “Code Blue” events in a single center: A cohort study with 419 incidents

Şimşek¹,

Akyılmaz²

2019

Journal of Surgery and Medicine

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Aim: Cardiac arrest sustains a significant cause of in-hospital morbidity and mortality worldwide and "Code Blue" (emergency code) is defined as a hospital code used to indicate a patient requiring immediate resuscitation. In this study we aimed to evaluate the ''code Blue'' events retrospectively in our hospital. Methods: Data were collected from the file book that is contained the patients' name, protocol numbers, duration of arrivals to the arrest locale, final results of CPR and the CPR team's names, locales of "code blue". Patients' gender, locales of "code blue", false or right "code blue" situations, final results were analyzed. Results: One hundred-nineteen "code blue" situations were analyzed, 132 of 339 true "code blue" patients died at the locale after CPR. One hundred-forty four patients were transferred to reanimation unit, 29 were to the coronary intensive care unit (ICU), 28 were to the cardio-vascular surgery ICU, four were to pediatric-ICU and two were taken to the emergency operations. Also 113 of these 207 remaining patients were died in these units in later times, 94 patients survived. Eighty of them were determined as false code blue. Conclusions: Even the situation is in-hospital cardiac arrest and the CPR is performed by skilled team mortality rate may still be high. To prevent the false code blue situations, in-house training is indispensable for every hospital workers.

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Panic Disorder in Patients Presenting to the Emergency Department With Chest Pain: Prevalence and Presenting Symptoms

Cited by 9 publications

References 23 publications

Hyperventilation syndrome: diagnosis and reassurance

Hyperventilation syndrome: diagnosis and reassurance

Mental health conditions in older multimorbid patients presenting to the emergency department for acute cardiac symptoms: Cross‐sectional findings from the EMASPOT study

Analysis of “Code Blue” events in a single center: A cohort study with 419 incidents

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