Fleet R P, Beitman B D
Montreal Heart Institute, Research Center, Quebec, Canada.
Clin Cardiol. 1997 Mar;20(3):187-94. doi: 10.1002/clc.4960200303.
Noncardiac chest pain is a common costly phenomenon in the cardiology setting. Recent research suggests that panic disorder, a highly distressful yet treatable anxiety disorder, occurs in a significant proportion of noncardiac chest pain patients. This article reviews research on the prevalence of panic disorder in patients seen in cardiology settings for unexplained chest pain. Financial, psychosocial, and historical aspects of noncardiac chest pain are described. Panic disorder and the potential consequences of its nonrecognition by physicians are examined. Current psychological and pharmacologic treatments are reviewed. Recommendations on the management of panic patients in the cardiology setting are provided.
非心源性胸痛在心脏病学领域是一种常见且代价高昂的现象。近期研究表明，惊恐障碍是一种高度令人痛苦但可治疗的焦虑症，在相当一部分非心源性胸痛患者中存在。本文回顾了在心脏病学环境中因不明原因胸痛就诊的患者中惊恐障碍患病率的研究。描述了非心源性胸痛的经济、心理社会和病史方面。研究了惊恐障碍及其未被医生识别的潜在后果。回顾了当前的心理和药物治疗方法。提供了关于心脏病学环境中惊恐障碍患者管理的建议。
