Coincidence of paroxysmal supraventricular tachycardia and panic disorder: two case reports
Open accessAbstract
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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Some studies suggest that anxiety exerts a facilitating effect on arrhythmogenesis as well as on the patient's perception of the arrhythmia.
“Indeed, in the last few years, some studies investigating the correlation between anxiety syndrome and the appearance of arrhythmias have suggested that anxiety exerts a facilitating effect on arrhythmogenesis 28 as well as on the patient's perception of the arrhythmia.29”
From Management of patients with palpitations: a position paper from the European Heart Rhythm Association (2011) · cites this paper as [29]
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Supraventricular Tachycardia Ablation and Effects on Anxiety MedicationsPreprint
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FROM THE HEART TO THE MIND: RESEARCH ON THE CAUSES OF PALPITATIONS
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- Authors
- Domschke, K., Kirchhof, P., Zwanzger, P., Gerlach, A. L., Breithardt, G., & Deckert, J.
- Affiliations
- University of Münster (DE)
- University of Würzburg (DE)
- Corresponding author
- Domschke, Katharina
- ORCID
- Venue
- Annals of General Psychiatry
- Published
- 2010-04-12
- Volume
- 9
- Issue
- 1
- Pages
- 13-13
- ISSN
- 1744-859X (ISSN-L)
- PMC
- PMC2864277
- OpenAlex
- W2124553228
- Cited by
- 11
- References
- 15
- Citations by year
- 2025: 2 · 2023: 1 · 2022: 2 · 2021: 1 · 2015: 1 · 2013: 1 · 2012: 2
- FWCI
- 0.88
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Annals of General Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Deutsche Forschungsgemeinschaft (TRR‐58, SFB TRR 58)
- Westfälische Wilhelms-Universität Münster
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- paroxysmal supraventricular tachycardia, panic disorder, comorbidities, palpitations, misdiagnosis, interoception, anxiety, differential diagnosis, stress
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