Shakeri Jalal, Tatari Faeze, Vaezi Nona, Golshani Sanobar, Farnia Vahid, Alikhani Mostafa, Salemi Safora, Rahami Bahareh
Department of Psychiatry, Substance Abuse Prevention Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.
J Educ Health Promot. 2019 Mar 14;8:61. doi: 10.4103/jehp.jehp_278_18. eCollection 2019.
Chest pain is one of the common causes for referrals to cardiologists, 50% of which have no-cardiac origin. The occurrence of chest pains is among the most important factors responsible for psychological disorders. This study aimed to determine the prevalence of panic disorder and its related factor in hospitalized patients with chest pain and normal angiography.
In a cross-sectional study, 144 patients who referred to Emam Ali Cardiac Hospital of Kermanshah because of chest pain in 2013 and had a normal angiography during admission were selected using census sampling method. The statistical indicators of Chi-square and logistic regression were applied.
From 144 patients with atypical chest pain, 95 were male (66%) and 49 were female (34%). Overall, 41 patients met the criteria for panic diagnosis and thus, the prevalence of panic attacks among patients with atypical chest pain was calculated as 28.5%. The results of multiple logistic regression analysis showed that female gender, early age, and the being single were among the predictive factors for the existence of panic disorder in patients with atypical chest pain and normal angiography ( < 0.001).
Given the high prevalence of panic disorder in patients hospitalized for chest pain with normal angiography, it is recommended to consider the importance of paying attention to this disorder and identifying patients and referring them to professional psychiatrists.
胸痛是心内科会诊的常见原因之一，其中50%无心脏源性。胸痛的发生是导致心理障碍的最重要因素之一。本研究旨在确定胸痛且血管造影正常的住院患者中惊恐障碍的患病率及其相关因素。
在一项横断面研究中，采用普查抽样方法选取了2013年因胸痛转诊至克尔曼沙赫伊玛目阿里心脏病医院且入院期间血管造影正常的144例患者。应用卡方检验和逻辑回归的统计指标。
144例非典型胸痛患者中，男性95例（66%），女性49例（34%）。总体而言，41例患者符合惊恐障碍诊断标准，因此，非典型胸痛患者中惊恐发作的患病率计算为28.5%。多元逻辑回归分析结果显示，女性、年龄较小和单身是非典型胸痛且血管造影正常的患者存在惊恐障碍的预测因素（<0.001）。
鉴于血管造影正常的胸痛住院患者中惊恐障碍的患病率较高，建议重视该障碍，识别患者并将其转诊至专业精神科医生。
