Dammen Toril
Psykosomatisk avdeling Rikshospitalet 0027 Oslo.
Tidsskr Nor Laegeforen. 2002 May 30;122(14):1391-5.
This paper reviews the association between psychological factors and non-cardiac chest pain, with an emphasis on panic disorders. 50-70 per cent of patients referred to cardiac evaluation because of chest pain and for whom negative findings are obtained, continue to suffer from chest pain that is strongly associated with considerable social and occupational disability. Recent studies have shown that at least one third of these patients suffer from panic disorder. Panic disorder may also co-exist with coronary artery disease. Untreated, this disorder has an extensive morbidity. Physicians should attend to panic symptomatology in patients with non-cardiac chest pain and offer general and specific treatment.
本文综述了心理因素与非心源性胸痛之间的关联，重点关注惊恐障碍。因胸痛接受心脏评估但检查结果为阴性的患者中，有50% - 70%仍持续遭受胸痛折磨，且这种胸痛与严重的社会和职业功能障碍密切相关。近期研究表明，这些患者中至少三分之一患有惊恐障碍。惊恐障碍也可能与冠状动脉疾病并存。若不治疗，这种疾病会导致广泛的发病情况。医生应关注非心源性胸痛患者的惊恐症状，并提供一般治疗和特殊治疗。
