Soares-Filho Gastão L F, Arias-Carrión Oscar, Santulli Gaetano, Silva Adriana C, Machado Sergio, Valenca Alexandre M, Nardi Antonio E
Panic and Respiration Laboratory. Institute of Psychiatry (IPUB) of Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil.
CNS Neurol Disord Drug Targets. 2014;13(6):992-1001. doi: 10.2174/1871527313666140612141500.
Chest pain may be due benign diseases but often suggests an association with coronary artery disease, which justifies a quick search for medical care. However, some people have anxiety disorder with symptoms that resemble clearly an acute coronary syndrome. More specifically, during a panic attack an abrupt feeling of fear accompanied by symptoms such as breathlessness, palpitations and chest pain, makes patients believe they have a heart attack and confuse physicians about the diagnosis. The association between panic disorder and coronary artery disease has been extensively studied in recent years and, although some studies have shown anxiety disorders coexisting or increasing the risk of heart disease, one causal hypothesis is still missing. The aim of this systematic review is to present the various ways in which the scientific community has been investigating the relation between chest pain, panic disorder and coronary artery disease.
胸痛可能由良性疾病引起，但通常提示与冠状动脉疾病有关，这就需要尽快寻求医疗救治。然而，有些人患有焦虑症，其症状与急性冠状动脉综合征极为相似。更具体地说，在惊恐发作期间，突然出现的恐惧感觉，伴有呼吸急促、心悸和胸痛等症状，会使患者认为自己心脏病发作，从而给医生的诊断造成困扰。近年来，惊恐障碍与冠状动脉疾病之间的关联已得到广泛研究，尽管一些研究表明焦虑症与心脏病共存或增加心脏病风险，但仍缺少一个因果假设。本系统评价的目的是介绍科学界研究胸痛、惊恐障碍与冠状动脉疾病之间关系的各种方式。
