Panic disorder and chest pain in the coronary care unit

Psychosomatics. Summer 1992;33(3):302-9. doi: 10.1016/S0033-3182(92)71969-0.

Abstract

Consecutive admissions to a university hospital coronary intensive care unit were prospectively evaluated using a modified version of the Structured Clinical Interview for DSM-III-R by interviewers blind to the patient's cardiac status. Panic disorder was present in almost one-third of the patients. Four (21%) of the 19 patients with panic disorder also had positive cardiac findings, including 2 who had myocardial infarctions. Of the 27 patients with negative cardiac findings, 15 (55.5%) had panic disorder. Whereas panic disorder and coronary heart disease may coexist in patients with acute chest pain, there appears to be a very high prevalence of panic disorder among patients in whom cardiac disease has been excluded.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Age Factors
  • Agoraphobia / complications
  • Agoraphobia / psychology
  • Cardiology Service, Hospital
  • Chest Pain / diagnosis*
  • Chest Pain / epidemiology
  • Chest Pain / psychology
  • Comorbidity
  • Coronary Care Units
  • Female
  • Health Status
  • Hospitalization
  • Humans
  • Interviews as Topic
  • Male
  • Middle Aged
  • Panic Disorder / diagnosis*
  • Panic Disorder / epidemiology
  • Panic Disorder / psychology
  • Prospective Studies
  • Psychiatric Status Rating Scales