Chest pain, palpitations and panic
Abstract
Chest pain and palpitations are commonly described in the general population and are frequent presenting symptoms in all medical settings. Although often transient, they can be persistent and are associated with considerable disability, distress, and concern about heart disease and use of medical resources. Both symptoms are associated with panic but also with other psychiatric disorders. It is most useful to consider etiology as multicausal and interactive; psychological factors affect interpretation of bodily perceptions and have deleterious effects on quality of life and use of medical resources. There is evidence that general measures and specific drug and psychological treatments can be effective. There is still uncertainty about the most appropriate ways of providing effective care to large numbers of patients.
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Palpitations are among the most common symptoms that prompt patients to consult general practitioners, cardiologists, or emergency healthcare services.
“Palpitations are among the most common symptoms that prompt patients to consult general practitioners, cardiologists, or emergency healthcare services.1 -4”
From Management of patients with palpitations: a position paper from the European Heart Rhythm Association (2011) · cites this paper as [1]
In studies in primary care settings, palpitations account for 16% of the symptoms that prompt patients to visit their general practitioner, and are second only to chest pain as the presenting complaint for specialist cardiologic evaluation.
“In studies in primary care settings, palpitations account for 16% of the symptoms that prompt patients to visit their general practitioner, and are second only to chest pain as the presenting complaint for specialist cardiologic evaluation.1,3,4”
From Management of patients with palpitations: a position paper from the European Heart Rhythm Association (2011) · cites this paper as [1]
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- Authors
- Mayou, R.
- Affiliations
- Warneford Hospital (GB)
- Corresponding author
- Mayou, Richard
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 1998-01
- Volume
- 44
- Issue
- 1
- Pages
- 53-70
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W1971979884
- Cited by
- 78
- References
- 61
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 3 · 2023: 1 · 2022: 2 · 2021: 2 · 2020: 3 · 2019: 2 · 2018: 3 · 2017: 1 · 2016: 1 · 2015: 5 · 2014: 6 · 2013: 7 · 2012: 7
- FWCI
- 1.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- chest pain, palpitations, panic, psychosomatic symptoms, psychiatric comorbidity, quality of life, medical resource use, psychological intervention, pharmacotherapy
- MeSH terms
- Arrhythmias, Cardiac, Awareness, Chest Pain, Diagnosis, Differential, Heart Rate, Humans, Comorbidity, Causality, Panic Disorder
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