• J Clin Psychiatry · May 1990

    Review

    Chest pain, cardiac disease, and panic disorder.

    • W J Katon.
    • Division of Consultation Liaison Psychiatry, Washington School of Medicine, Seattle 98195.
    • J Clin Psychiatry. 1990 May 1;51 Suppl:27-30; discussion 50-3.

    AbstractChest pain is one of the most frequent symptoms prompting presentation to a medical clinic. In primary care, more than 80% of patients are found to have no organic etiology for chest pain. Even among selected patients referred for coronary arteriography, 10% to 30% have little or no evidence of coronary artery disease. Recent studies suggest that panic disorder is a common cause of chest pain in patients with negative cardiac test results. Panic disorder can also occur along with a chronic medical illness, such as coronary artery disease, and may lead to physiologic worsening of that illness with more frequent episodes of chest pain.

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