Tueth M J
Department of Psychiatry, College of Medicine, University of Florida, Gainesville 32610, USA.
Am J Emerg Med. 1997 Mar;15(2):170-2. doi: 10.1016/s0735-6757(97)90094-2.
Many patients who seek emergency evaluation for recurrent chest pain have had negative cardiac evaluations, sometimes including normal coronary angiograms. Despite reassurance, many of these patients return to emergency departments with complaints of chest pain. Studies have shown that one third to one half of these patients suffer from panic disorder characterized by attacks of intense fear accompanied by chest pain or discomfort, nausea, and shortness of breath. If panic disorder is identified, it can be successfully treated. This article explores the causes of recurrent nonischemic chest pain and offers treatment recommendations.
许多因复发性胸痛寻求急诊评估的患者，其心脏评估结果为阴性，有时包括冠状动脉造影正常。尽管得到了安心的答复，但这些患者中有许多人仍因胸痛症状返回急诊科。研究表明，这些患者中有三分之一至二分之一患有惊恐障碍，其特征为强烈恐惧发作，并伴有胸痛或不适、恶心和呼吸急促。如果识别出惊恐障碍，便可成功进行治疗。本文探讨了复发性非缺血性胸痛的病因并提供了治疗建议。
