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Coincidence of paroxysmal supraventricular tachycardia and panic disorder: two case reports

Panic disorder (PD) is characterised by sudden attacks of intense fear with somatic symptoms including palpitations and tachycardia. Reciprocally, palpitations caused by paroxysmal supraventricular tachycardia (PSVT) are commonly associated with anxiety and may therefore be misdiagnosed as PD. As de...

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Autores principales: Domschke, Katharina, Kirchhof, Paulus, Zwanzger, Peter, Gerlach, Alexander L, Breithardt, Günter, Deckert, Jürgen
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2864277/
https://www.ncbi.nlm.nih.gov/pubmed/20385011
http://dx.doi.org/10.1186/1744-859X-9-13
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author Domschke, Katharina
Kirchhof, Paulus
Zwanzger, Peter
Gerlach, Alexander L
Breithardt, Günter
Deckert, Jürgen
author_facet Domschke, Katharina
Kirchhof, Paulus
Zwanzger, Peter
Gerlach, Alexander L
Breithardt, Günter
Deckert, Jürgen
author_sort Domschke, Katharina
collection PubMed
description Panic disorder (PD) is characterised by sudden attacks of intense fear with somatic symptoms including palpitations and tachycardia. Reciprocally, palpitations caused by paroxysmal supraventricular tachycardia (PSVT) are commonly associated with anxiety and may therefore be misdiagnosed as PD. As demonstrated by two case reports, PSVT and PD can occur comorbidly in a chronological sequence, with PSVT possibly precipitating and maintaining PD via interoceptive processes or, alternatively, with PD increasing the risk for PSVT by elevating stress levels. As both PSVT and PD require different treatments, potentially helpful differential clinical diagnostic criteria are proposed.
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spelling pubmed-28642772010-05-05 Coincidence of paroxysmal supraventricular tachycardia and panic disorder: two case reports Domschke, Katharina Kirchhof, Paulus Zwanzger, Peter Gerlach, Alexander L Breithardt, Günter Deckert, Jürgen Ann Gen Psychiatry Case report Panic disorder (PD) is characterised by sudden attacks of intense fear with somatic symptoms including palpitations and tachycardia. Reciprocally, palpitations caused by paroxysmal supraventricular tachycardia (PSVT) are commonly associated with anxiety and may therefore be misdiagnosed as PD. As demonstrated by two case reports, PSVT and PD can occur comorbidly in a chronological sequence, with PSVT possibly precipitating and maintaining PD via interoceptive processes or, alternatively, with PD increasing the risk for PSVT by elevating stress levels. As both PSVT and PD require different treatments, potentially helpful differential clinical diagnostic criteria are proposed. BioMed Central 2010-04-12 /pmc/articles/PMC2864277/ /pubmed/20385011 http://dx.doi.org/10.1186/1744-859X-9-13 Text en Copyright ©2010 Domschke et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case report
Domschke, Katharina
Kirchhof, Paulus
Zwanzger, Peter
Gerlach, Alexander L
Breithardt, Günter
Deckert, Jürgen
Coincidence of paroxysmal supraventricular tachycardia and panic disorder: two case reports
title Coincidence of paroxysmal supraventricular tachycardia and panic disorder: two case reports
title_full Coincidence of paroxysmal supraventricular tachycardia and panic disorder: two case reports
title_fullStr Coincidence of paroxysmal supraventricular tachycardia and panic disorder: two case reports
title_full_unstemmed Coincidence of paroxysmal supraventricular tachycardia and panic disorder: two case reports
title_short Coincidence of paroxysmal supraventricular tachycardia and panic disorder: two case reports
title_sort coincidence of paroxysmal supraventricular tachycardia and panic disorder: two case reports
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2864277/
https://www.ncbi.nlm.nih.gov/pubmed/20385011
http://dx.doi.org/10.1186/1744-859X-9-13
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