Beitman B D, Basha I, Flaker G, DeRosear L, Mukerji V, Trombka L, Katon W
Arch Intern Med. 1987 Sep;147(9):1548-52.
Of 195 patients with atypical or nonanginal chest pain presenting in a cardiology clinic, 104 consented to be evaluated for anxiety disorders using a structured psychiatric interview. Thirty patients had histories of coronary artery disease (CAD). Fifty-nine patients in the sample (16 of those with CAD and 43 of those without CAD) fit diagnostic criteria for panic disorder (PD). Those without CAD and with PD were primarily women (mean age, 43 years) with predominantly nonanginal chest pain. Those patients with both CAD and PD were primarily men (mean age, 54 years) with predominantly atypical angina. Since PD has been shown to be readily responsive to pharmacologic intervention, this diagnosis should be considered in patients with atypical or nonanginal chest pain.
在一家心脏病诊所就诊的195例非典型或非心绞痛性胸痛患者中，104例同意通过结构化精神科访谈接受焦虑症评估。30例患者有冠状动脉疾病（CAD）病史。样本中有59例患者（CAD患者中的16例和无CAD患者中的43例）符合惊恐障碍（PD）的诊断标准。无CAD且患有PD的患者主要为女性（平均年龄43岁），主要表现为非心绞痛性胸痛。同时患有CAD和PD的患者主要为男性（平均年龄54岁），主要表现为非典型心绞痛。由于已证明PD对药物干预反应良好，对于非典型或非心绞痛性胸痛患者应考虑这一诊断。
