Late onset panic disorder: evidence from a study of patients with chest pain and normal cardiac evaluations.

In the context of administering psychiatric diagnostic interviews to cardiology patients with chest pain and no evidence of coronary artery disease, the authors found twenty-seven patients over the age of sixty-five, nine (33%) of whom fit panic disorder criteria. Their mean age of onset was sixty-two (SD = 23 years). Only two patients reported onset of panic disorder earlier than age sixty-two. All nine were widows while the comparison group of non-panic subjects over age sixty-five included only seven of eighteen (40%) who were widows. These findings suggest panic disorder may be prevalent in older patients with chest pain and no evidence of coronary artery disease and that panic disorder may begin later in life.