The Prevalence of Panic Disorder and Its Related Factor in Hospitalized Patients with Chest Pain and Normal Angiography

Overview

Journal J Educ Health Promot

Specialty Medical Education

Date 2019 Apr 23

PMID 31008128

Citations 3

Authors

Jalal Shakeri

Faeze Tatari

Nona Vaezi

Sanobar Golshani

Vahid Farnia

Mostafa Alikhani

Safora Salemi

Bahareh Rahami

Affiliations

Soon will be listed here.

Abstract

Background: 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.

Materials And Methods: 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.

Results: 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).

Conclusions: 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.

Citing Articles

Comparing depression, anxiety, and quality of life in individuals with cardiac and non-cardiac chest pain.

Zarean E, Samani Z, Kheiri S, Torkian S Front Psychiatry. 2024; 14:1302715.

PMID: 38293590 PMC: 10824964. DOI: 10.3389/fpsyt.2023.1302715.

Panic disorder in general medical practice- A narrative review.

Manjunatha N, Ram D J Family Med Prim Care. 2022; 11(3):861-869.

PMID: 35495823 PMC: 9051703. DOI: 10.4103/jfmpc.jfmpc_888_21.

Psychiatry Meets Cardiology: A Case Report on the Need for Mental Health Assessment in the Evaluation of Cardiovascular Symptoms.

Asamoah K, Dei-Asamoa R Case Rep Psychiatry. 2022; 2022:5415196.

PMID: 35492236 PMC: 9050329. DOI: 10.1155/2022/5415196.

References

Husser D, Bollmann A, Kuhne C, Molling J, Klein H . Evaluation of noncardiac chest pain: diagnostic approach, coping strategies and quality of life. Eur J Pain. 2005; 10(1):51-5. DOI: 10.1016/j.ejpain.2005.01.011. View

Papanicolaou M, Califf R, Hlatky M, McKinnis R, Harrell Jr F, Mark D . Prognostic implications of angiographically normal and insignificantly narrowed coronary arteries. Am J Cardiol. 1986; 58(13):1181-7. DOI: 10.1016/0002-9149(86)90378-4. View

Haug T, Mykletun A, Dahl A . The association between anxiety, depression, and somatic symptoms in a large population: the HUNT-II study. Psychosom Med. 2004; 66(6):845-51. DOI: 10.1097/01.psy.0000145823.85658.0c. View

Sekhri N, Feder G, Junghans C, Hemingway H, Timmis A . How effective are rapid access chest pain clinics? Prognosis of incident angina and non-cardiac chest pain in 8762 consecutive patients. Heart. 2006; 93(4):458-63. PMC: 1861500. DOI: 10.1136/hrt.2006.090894. View

Hocaoglu C, Gulec M, Durmus I . Psychiatric comorbidity in patients with chest pain without a cardiac etiology. Isr J Psychiatry Relat Sci. 2008; 45(1):49-54. View

Foldes-Busque G, Fleet R, Poitras J, Chauny J, Belleville G, Denis I . Preliminary investigation of the Panic Screening Score for emergency department patients with unexplained chest pain. Acad Emerg Med. 2011; 18(3):322-5. DOI: 10.1111/j.1553-2712.2011.01009.x. View

Chiocca J, Olmos J, Salis G, Soifer L, Higa R, Marcolongo M . Prevalence, clinical spectrum and atypical symptoms of gastro-oesophageal reflux in Argentina: a nationwide population-based study. Aliment Pharmacol Ther. 2005; 22(4):331-42. DOI: 10.1111/j.1365-2036.2005.02565.x. View

Sheps D, Creed F, Clouse R . Chest pain in patients with cardiac and noncardiac disease. Psychosom Med. 2004; 66(6):861-7. DOI: 10.1097/01.psy.0000146330.80895.77. View

Edlund M, Swann A . The economic and social costs of panic disorder. Hosp Community Psychiatry. 1987; 38(12):1277-9, 1288. DOI: 10.1176/ps.38.12.1277. View

10.

Sherbourne C, Wells K, Judd L . Functioning and well-being of patients with panic disorder. Am J Psychiatry. 1996; 153(2):213-8. DOI: 10.1176/ajp.153.2.213. View

11.

Ockene I, Shay M, Alpert J, Weiner B, Dalen J . Unexplained chest pain in patients with normal coronary arteriograms: a follow-up study of functional status. N Engl J Med. 1980; 303(22):1249-52. DOI: 10.1056/NEJM198011273032201. View

12.

Kroenke K, Arrington M, Mangelsdorff A . The prevalence of symptoms in medical outpatients and the adequacy of therapy. Arch Intern Med. 1990; 150(8):1685-9. DOI: 10.1001/archinte.150.8.1685. View

13.

Dumville J, MacPherson H, Griffith K, Miles J, Lewin R . Non-cardiac chest pain: a retrospective cohort study of patients who attended a Rapid Access Chest Pain Clinic. Fam Pract. 2007; 24(2):152-7. DOI: 10.1093/fampra/cmm002. View

14.

Kroenke K, Mangelsdorff A . Common symptoms in ambulatory care: incidence, evaluation, therapy, and outcome. Am J Med. 1989; 86(3):262-6. DOI: 10.1016/0002-9343(89)90293-3. View

15.

Jerlock M, Welin C, Rosengren A, Gaston-Johansson F . Pain characteristics in patients with unexplained chest pain and patients with ischemic heart disease. Eur J Cardiovasc Nurs. 2006; 6(2):130-6. DOI: 10.1016/j.ejcnurse.2006.06.003. View

16.

Tew R, Guthrie E, Creed F, Cotter L, Kisely S, Tomenson B . A long-term follow-up study of patients with ischaemic heart disease versus patients with nonspecific chest pain. J Psychosom Res. 1995; 39(8):977-85. DOI: 10.1016/0022-3999(95)00065-8. View

17.

Eslick G, Jones M, Talley N . Non-cardiac chest pain: prevalence, risk factors, impact and consulting--a population-based study. Aliment Pharmacol Ther. 2003; 17(9):1115-24. DOI: 10.1046/j.1365-2036.2003.01557.x. View

18.

Stansfeld S, Marmot M . Social class and minor psychiatric disorder in British Civil Servants: a validated screening survey using the General Health Questionnaire. Psychol Med. 1992; 22(3):739-49. DOI: 10.1017/s0033291700038186. View

19.

Kessler R, Chiu W, Demler O, Merikangas K, Walters E . Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005; 62(6):617-27. PMC: 2847357. DOI: 10.1001/archpsyc.62.6.617. View

20.

Coryell W, Noyes R, Clancy J . Excess mortality in panic disorder. A comparison with primary unipolar depression. Arch Gen Psychiatry. 1982; 39(6):701-3. DOI: 10.1001/archpsyc.1982.04290060051010. View