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Panic Disorder

Panic disorder (PD) occurs in up to 25% of ED patients with chest pain. The quality of pain is often indistinguishable from ischemic pain. Since patients with PD often have coexistent CAD, a diagnosis of panic disorder is infrequently made in the ED. Many patients with panic disorder have coexisting symptoms of depression, including suicidal ideation (10%).

Causes

The main cause of panic attacks is Hypoglycemia.
Other factors such as stressful life events, environment may also cause panic disorder.
Several factors such as Heredity, stress can cause panic disoreder.

Symptoms

Chest pain
Dyspnea
Palpitations
Dizziness
Sweating
Trembling
Fear of losing control
Fear of dying
Acral paresthesias
Prior history of similar events
Fear of additional attacks

Signs

Tachycardia
Tachypnea
Normal examination

Treatment

Treatment for panic disorder includes medications and a type of psychotherapy known as cognitive-behavioral therapy, In which during sessions with your psychiatrist or psychologist, you learn to better understand your panic attacks and how to deal with them.
For the treatment of panic disorder, pharmacotherapy medications typically used to treat patients with anxiety disorders benzodiazepines, antidepressants and newer compounds such as buspirone.

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