Psychiatric syndromes associated with atypical chest pain

Abstract

Somatoform and panic disorders are associated with atypical chest pain. Pain expression is mild, accompained with panic. Predictive factors for atypical chest pain are: age under 40, anxiety level >20, somatization > or =63, presence of panic and somatoform disorders, H-R score >102, and a lack of positive diagnostic test of coronary disease. Defining of these parameters could be useful for early psychiatric evaluation of persons with atypical chest pain.

Mental capacity as a medicolegal prerequisite for consent or refusal of medical treatment

“…This means that the person making the decision expresses his/her real, free volition, and does not uncritically accept someone else's position that the treatment should be refused (or accepted) -the decision is the expression of his/her volition pertaining to the medical treatment. This also means that the person has, in the processes preceding decisionmaking, 'overcome' some, predominantly unpleasant emotions 24 , which may accompany such conditions, and that his/her ratio and volition prevailed over emotional aspects of decision-making. This is the minimum of prior knowledge that should guide a doctor when assessing the mental capacity of patient refusing medical treatment.…”

Dynamics of anxiety in women undergoing coronary angiography

“…Somatoform disorders, defined as persistent somatic complaints that cannot be explained by any detectable somatic disease, are a very common problem in the clinical practice of both general practitioners and cardiologists [9]. They were given code F45 in the 10 th revision of the International Classification of Diseases (ICD10) and their management includes use of selective serotonin reuptake inhibitors and psychotherapy.…”