Panic disorder and chest pain in the coronary care unit

Cameron S Carter, Richard J Maddock, Ezra A Amsterdam, S. McCormick, C. Waters, J. Billett

Research output: Contribution to journalArticle

72 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)302-309
Number of pages8
JournalPsychosomatics
Volume33
Issue number3
StatePublished - 1992

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Psychology(all)

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