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Annals of General Psychiatry

, 9:13

First Online: 12 April 2010Received: 18 February 2010Accepted: 12 April 2010

Abstract

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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Author: Katharina Domschke - Paulus Kirchhof - Peter Zwanzger - Alexander L Gerlach - Günter Breithardt - Jürgen Deckert

Source: https://link.springer.com/







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