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The psychiatric view of the patient with palpitations

Year 2013, , 261 - 264, 01.09.2013
https://doi.org/10.5505/abantmedj.2013.58076

Abstract

Palpitations are the frequently reported symptoms in primary settings. Underlying reason of palpitations in many patients is a psychiatric disorder rather than a physical illness. Anxiety disorders are the most frequently seen psychiatric disorder in patients with palpitations. Patients with mood disorders, somatoform disorders, or psychotic disorders also exhibit increased levels of palpitations. This review, psychiatric view of palpitations will be discussed.

References

  • Zwietering PJ, Knottnerus A, Gorgels T, Rinkens P. Occurrence of arrhythmias in general practice. Scand J Prim Health Care 1996; 14: 244-250.
  • Ziemetbaum P, Josephson ME. Evaluation of patients with palpitations. N Engl J Med 1998; 338: 1369-1373.
  • Mayou R, Bryant B, Forfar C, Clark D. Non-cardiac chest pain and benign palpitations in the cardiac clinic. Br Heart J 1994; 72: 548-553.
  • Kroenke K, Arrington ME, Mangelsdorff AD. The prevalence of symptoms in medical outpatients and the adequacy of therapy. Arch Intern Med. 1990; 150: 1685-1689.
  • Weber BE, Kapoor WN. Evaluation and outcomes of patients with palpitations. Am J Med 1996; 100: 138-148.
  • Abbott AV. Diagnostic approach to palpitations. Am Fam Physician 2005; 71: 743-750.
  • Thavendiranathan P, Bagai A, Khoo C, Dorian P, Choudhry NK. Does this patient with palpitations have a cardiac arrhythmia? JAMA 2009; 302: 2135- 2143.
  • Keeler ER, Morris RK, Patolia DS, Toy EC. The evaluation and management of palpitations. Prim Care Update Ob Gyns 2002; 9: 199-205.
  • Delacrétaz E. Clinical practice. Supraventricular tachycardia. N Engl J Med 2006; 354: 1039-1051.
  • Barsky AJ, Delamater BA, Clancy SA, Antman EM, Ahern DK. Somatized psychiatric disorder presenting as palpitations. Arch Intern Med 1996; 156: 1102-1108.
  • Zimetbaum P, Josephson ME. Evaluation of patients with palpitations. N Engl J Med 1998; 338: 1369-1373.
  • Roden DM. Clinical practice. Long-QT syn- drome. N Engl J Med 2008; 358: 169–176.
  • Chignon JM, Lepine JP, Ades J. Panic disorder in cardiac outpatients. Am J Psychiatry 1993; 150: 780- 785.
  • Barsky AJ, Cleary PD, Coeytaux RR, Ruskin JN. Psychiatric disorders in medical outpatients com- plaining of palpitations. J Gen Intern Med 1994; 9: 306-313.
  • Barsky AJ, Cleary PD, Sarnie MK, Ruskin JN. Panic disorder, palpitations, and the awareness of cardiac activity. J Nerv Ment Dis 1994; 182: 63-71.
  • Asnaani A, Gutner CA, Hinton DE, Hofmann SG. Panic disorder, panic attacks and panic attack symp- toms across race-ethnic groups: results of the col- laborative psychiatric epidemiology studies. CNS Neurosci Ther 2009; 15:249-254.
  • Schruers KRJ, van de Mortel H, Overbeek T, Griez E. Symptom profiles of natural and laboratory panic attacks. Acta Neuropsychiatrica 2004; 16: 101-106.
  • Carlbring P, Gustafsson H, Ekselius L, Andersson G. 12-month prevalence of panic disorder with or without agoraphobia in the Swedish general popu- lation. Soc Psychiatry Psychiatr Epidemiol 2002; 37: 207-211.
  • Thayer JF, Friedman BH, Borkovec TD, Johnsen BH, Molina S. Phasic heart period reactions to cued threat and nonthreat stimuli in generalized anxiety disorder. Psychophysiology 2000; 37: 361-368.
  • Fredrikson M. Orienting and defensive reactions to phobias and conditioned fear stimuli in phobics and normals. Psychophysiology 1981; 18: 456-465.
  • Sack M, Hopper JW, Lamprecht F. Low respirato- ry sinus arrhythmia and prolonged psychophysio- logical arousal in posttraumatic stress disorder: Heart rate dynamics and individual differences in arousal regulation. Biol Psychiatry 2004; 55: 284- 290.
  • Jönsson P. Respiratory sinus arrhythmia as a function of state anxiety in healthy individuals. Int J Psychophysiol. 2007; 63: 48-54.
  • Suzuki S, Kasanuki H. The influences of psycho- social aspects and anxiety symptoms on quality of life of patients with arrhythmia: investigation in paroxysmal atrial fibrillation. Int J Behav Med 2004; 11: 104-109.
  • Lessmeier TJ, Gamperling D, Johnson-Liddon V, Fromm BS, Steinman RT, Meissner MD, Lehmann MH. Unrecognized paroxysmal supraventricular tachycardia. Potential for misdiagnosis as panic disorder. Arch Intern Med 1997; 157: 537-543.
  • Hirschfeld RM. The Comorbidity of Major De- pression and Anxiety Disorders: Recognition and Management in Primary Care. Prim Care Compan- ion J Clin Psychiatry 2001; 3: 244-254.
  • Lİchen ML, Rasmussen K. Palpitations and life- style: impact of depression and self-rated health. The Nordland Health Study. Scand J Soc Med 1996; 24: 140-4.
  • MacKinnon DF, Zamoiski R. Panic comorbidity with bipolar disorder: what is the manic-panic con- nection? Bipolar Disord 2006; 8: 648-664.
  • Barsky AJ. Patients who amplify bodily sensa- tions. Ann Intern Med 1979; 91-63.
  • Ford CV. The Somatizing Disorders, Illness as a Way of Life. New York: Elsevier Biomedical, 1983.
  • Stoeckle JD, Zola IK, Davidson GE. The quantity and significance of psychological distress in medical patients. J Chronic Dis 1964; 17: 959.
  • Katon W, Ries RK, Kleinman AM. The prevalence of somatization in primary care. Compr Psychiatry 1984; 25: 208-214.
  • Hilkevitch A. Psychiatric disturbance in outpa- tients of a general medical outpatient clinic. Int J Neuropsychiatry 1965; 1: 372-375.
  • Barsky AJ, Cleary PD, Coeytaux RR, Ruskin JN. The clinical course of palpitations in medical outpa- tients. Arch Intern Med 1995; 155: 1782-1788.
  • Jonsbu E, Dammen T, Morken G, Lied A, Vik-Mo H, Martinsen EW. Cardiac and psychiatric diagnoses among patients referred for chest pain and palpita- tions. Scand Cardiovasc J 2009; 43: 256-259.
  • Bermanzohn PC, Porto L, Arlow PB, Pollack S, Stronger R, Siris SG. Hierarchical diagnosis in chron- ic schizophrenia: a clinical study of co-occurring syndromes. Schizophr Bull 2000; 26: 517-525.
  • Bermanzohn PC, Arlow PB, Albert C, Siris SG. Relationship of panic attacks to paranoia. Am J Psychiatry 1999; 156: 1469.
  • Gupta N, KuLhara P. Co-occurrence of panic attacks in delusional disorder. Psychiatry Clin Neu- rosci 2001; 55 :653.

Çarpıntılı hastaya psikiyatrik bakış

Year 2013, , 261 - 264, 01.09.2013
https://doi.org/10.5505/abantmedj.2013.58076

Abstract

Çarpıntı birinci basamakta sık karşılaşılan bir belirtidir. Çarpıntılı hastaların çoğunluğunda çarpıntının nedeni bir hastalıktan çok psikiyatrik bir bozukluktur. Çarpıntı ile en sık ilişkili olan psikiyatrik bozukluk grubu kaygı bozuklarıdır. Ayrıca duygudurum bozukluklarına, somatoform bozukluklara ve psikotik bozukluklara sahip hastalarda da çarpıntı yakınmasına daha fazla rastlanır. Bu makalede çarpıntılı hastaya psikiyatrik bakış açısı tartışılacaktır.

References

  • Zwietering PJ, Knottnerus A, Gorgels T, Rinkens P. Occurrence of arrhythmias in general practice. Scand J Prim Health Care 1996; 14: 244-250.
  • Ziemetbaum P, Josephson ME. Evaluation of patients with palpitations. N Engl J Med 1998; 338: 1369-1373.
  • Mayou R, Bryant B, Forfar C, Clark D. Non-cardiac chest pain and benign palpitations in the cardiac clinic. Br Heart J 1994; 72: 548-553.
  • Kroenke K, Arrington ME, Mangelsdorff AD. The prevalence of symptoms in medical outpatients and the adequacy of therapy. Arch Intern Med. 1990; 150: 1685-1689.
  • Weber BE, Kapoor WN. Evaluation and outcomes of patients with palpitations. Am J Med 1996; 100: 138-148.
  • Abbott AV. Diagnostic approach to palpitations. Am Fam Physician 2005; 71: 743-750.
  • Thavendiranathan P, Bagai A, Khoo C, Dorian P, Choudhry NK. Does this patient with palpitations have a cardiac arrhythmia? JAMA 2009; 302: 2135- 2143.
  • Keeler ER, Morris RK, Patolia DS, Toy EC. The evaluation and management of palpitations. Prim Care Update Ob Gyns 2002; 9: 199-205.
  • Delacrétaz E. Clinical practice. Supraventricular tachycardia. N Engl J Med 2006; 354: 1039-1051.
  • Barsky AJ, Delamater BA, Clancy SA, Antman EM, Ahern DK. Somatized psychiatric disorder presenting as palpitations. Arch Intern Med 1996; 156: 1102-1108.
  • Zimetbaum P, Josephson ME. Evaluation of patients with palpitations. N Engl J Med 1998; 338: 1369-1373.
  • Roden DM. Clinical practice. Long-QT syn- drome. N Engl J Med 2008; 358: 169–176.
  • Chignon JM, Lepine JP, Ades J. Panic disorder in cardiac outpatients. Am J Psychiatry 1993; 150: 780- 785.
  • Barsky AJ, Cleary PD, Coeytaux RR, Ruskin JN. Psychiatric disorders in medical outpatients com- plaining of palpitations. J Gen Intern Med 1994; 9: 306-313.
  • Barsky AJ, Cleary PD, Sarnie MK, Ruskin JN. Panic disorder, palpitations, and the awareness of cardiac activity. J Nerv Ment Dis 1994; 182: 63-71.
  • Asnaani A, Gutner CA, Hinton DE, Hofmann SG. Panic disorder, panic attacks and panic attack symp- toms across race-ethnic groups: results of the col- laborative psychiatric epidemiology studies. CNS Neurosci Ther 2009; 15:249-254.
  • Schruers KRJ, van de Mortel H, Overbeek T, Griez E. Symptom profiles of natural and laboratory panic attacks. Acta Neuropsychiatrica 2004; 16: 101-106.
  • Carlbring P, Gustafsson H, Ekselius L, Andersson G. 12-month prevalence of panic disorder with or without agoraphobia in the Swedish general popu- lation. Soc Psychiatry Psychiatr Epidemiol 2002; 37: 207-211.
  • Thayer JF, Friedman BH, Borkovec TD, Johnsen BH, Molina S. Phasic heart period reactions to cued threat and nonthreat stimuli in generalized anxiety disorder. Psychophysiology 2000; 37: 361-368.
  • Fredrikson M. Orienting and defensive reactions to phobias and conditioned fear stimuli in phobics and normals. Psychophysiology 1981; 18: 456-465.
  • Sack M, Hopper JW, Lamprecht F. Low respirato- ry sinus arrhythmia and prolonged psychophysio- logical arousal in posttraumatic stress disorder: Heart rate dynamics and individual differences in arousal regulation. Biol Psychiatry 2004; 55: 284- 290.
  • Jönsson P. Respiratory sinus arrhythmia as a function of state anxiety in healthy individuals. Int J Psychophysiol. 2007; 63: 48-54.
  • Suzuki S, Kasanuki H. The influences of psycho- social aspects and anxiety symptoms on quality of life of patients with arrhythmia: investigation in paroxysmal atrial fibrillation. Int J Behav Med 2004; 11: 104-109.
  • Lessmeier TJ, Gamperling D, Johnson-Liddon V, Fromm BS, Steinman RT, Meissner MD, Lehmann MH. Unrecognized paroxysmal supraventricular tachycardia. Potential for misdiagnosis as panic disorder. Arch Intern Med 1997; 157: 537-543.
  • Hirschfeld RM. The Comorbidity of Major De- pression and Anxiety Disorders: Recognition and Management in Primary Care. Prim Care Compan- ion J Clin Psychiatry 2001; 3: 244-254.
  • Lİchen ML, Rasmussen K. Palpitations and life- style: impact of depression and self-rated health. The Nordland Health Study. Scand J Soc Med 1996; 24: 140-4.
  • MacKinnon DF, Zamoiski R. Panic comorbidity with bipolar disorder: what is the manic-panic con- nection? Bipolar Disord 2006; 8: 648-664.
  • Barsky AJ. Patients who amplify bodily sensa- tions. Ann Intern Med 1979; 91-63.
  • Ford CV. The Somatizing Disorders, Illness as a Way of Life. New York: Elsevier Biomedical, 1983.
  • Stoeckle JD, Zola IK, Davidson GE. The quantity and significance of psychological distress in medical patients. J Chronic Dis 1964; 17: 959.
  • Katon W, Ries RK, Kleinman AM. The prevalence of somatization in primary care. Compr Psychiatry 1984; 25: 208-214.
  • Hilkevitch A. Psychiatric disturbance in outpa- tients of a general medical outpatient clinic. Int J Neuropsychiatry 1965; 1: 372-375.
  • Barsky AJ, Cleary PD, Coeytaux RR, Ruskin JN. The clinical course of palpitations in medical outpa- tients. Arch Intern Med 1995; 155: 1782-1788.
  • Jonsbu E, Dammen T, Morken G, Lied A, Vik-Mo H, Martinsen EW. Cardiac and psychiatric diagnoses among patients referred for chest pain and palpita- tions. Scand Cardiovasc J 2009; 43: 256-259.
  • Bermanzohn PC, Porto L, Arlow PB, Pollack S, Stronger R, Siris SG. Hierarchical diagnosis in chron- ic schizophrenia: a clinical study of co-occurring syndromes. Schizophr Bull 2000; 26: 517-525.
  • Bermanzohn PC, Arlow PB, Albert C, Siris SG. Relationship of panic attacks to paranoia. Am J Psychiatry 1999; 156: 1469.
  • Gupta N, KuLhara P. Co-occurrence of panic attacks in delusional disorder. Psychiatry Clin Neu- rosci 2001; 55 :653.
There are 37 citations in total.

Details

Primary Language Turkish
Journal Section Collection
Authors

Osman Yıldırım This is me

Publication Date September 1, 2013
Published in Issue Year 2013

Cite

APA Yıldırım, O. (2013). Çarpıntılı hastaya psikiyatrik bakış. Abant Medical Journal, 2(3), 261-264. https://doi.org/10.5505/abantmedj.2013.58076
AMA Yıldırım O. Çarpıntılı hastaya psikiyatrik bakış. Abant Med J. September 2013;2(3):261-264. doi:10.5505/abantmedj.2013.58076
Chicago Yıldırım, Osman. “Çarpıntılı Hastaya Psikiyatrik bakış”. Abant Medical Journal 2, no. 3 (September 2013): 261-64. https://doi.org/10.5505/abantmedj.2013.58076.
EndNote Yıldırım O (September 1, 2013) Çarpıntılı hastaya psikiyatrik bakış. Abant Medical Journal 2 3 261–264.
IEEE O. Yıldırım, “Çarpıntılı hastaya psikiyatrik bakış”, Abant Med J, vol. 2, no. 3, pp. 261–264, 2013, doi: 10.5505/abantmedj.2013.58076.
ISNAD Yıldırım, Osman. “Çarpıntılı Hastaya Psikiyatrik bakış”. Abant Medical Journal 2/3 (September 2013), 261-264. https://doi.org/10.5505/abantmedj.2013.58076.
JAMA Yıldırım O. Çarpıntılı hastaya psikiyatrik bakış. Abant Med J. 2013;2:261–264.
MLA Yıldırım, Osman. “Çarpıntılı Hastaya Psikiyatrik bakış”. Abant Medical Journal, vol. 2, no. 3, 2013, pp. 261-4, doi:10.5505/abantmedj.2013.58076.
Vancouver Yıldırım O. Çarpıntılı hastaya psikiyatrik bakış. Abant Med J. 2013;2(3):261-4.