Mitral valve prolapse in anxiety neurosis (panic disorder)
1980; Elsevier BV; Volume: 100; Issue: 3 Linguagem: Inglês
10.1016/0002-8703(80)90142-8
ISSN1097-6744
AutoresAlagiriswami Venkatesh, David L. Pauls, Raymond Crowe, Russell Noyes, Charles Van Valkenburg, James B. Martins, Richard E. Kerber,
Tópico(s)Cardiac Valve Diseases and Treatments
ResumoOur purpose was to determine the incidence of mitral valve prolapse in patients with anxiety neurosis or panic disorder, with symptoms including recurrent anxiety attacks, dyspnea, palpitations, chest pain, dizziness, and paresthesias. Twenty-one patients and 20 age- and sexmatched normal controls were studied. Objective cardiac abnormalities were significantly (p < 0.05) more frequent in the patient group as compared to the control group; these comprised echocardiographic prolapse, ST-T abnormalities on resting ECG, premature ventricular contractions on exercise ECG, and the combination of echo prolapse with clicks/murmurs or exercise-induced PVC. We conclude that patients with anxiety neurosis or panic disorder may also have evidence of an organic abnormality-the mitral prolapse syndrome.
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