• Am J Emerg Med · Mar 1997

    Review

    Managing recurrent nonischemic chest pain in the emergency department.

    • M J Tueth.
    • Department of Psychiatry, College of Medicine, University of Florida, Gainesville 32610, USA.
    • Am J Emerg Med. 1997 Mar 1; 15 (2): 170-2.

    AbstractMany 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.

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