Clinical Case Database / Category: Case Based Discussion
Palpitations or panic attack?
Publication details
Sandip Mandal, Arshad Ali Khan
Foundation Years Journal, volume 2, issue 6, p.265 (123Doc Education, London, July 2008)
Abstract
A 72-year-old lady was seen by her general practitioner and attended her local emergency department on several occasions over a 9-month period with episodic symptoms. She had attended the emergency department three times in the preceding 5 days. Her symptoms consisted of palpitations, light headedness, chest tightness and shortness of breath. The palpitations were of rapid onset and offset and consisted of a sensation of a rapid regular heart beat. She had been previously diagnosed as having an anxiety disorder, and the episodes attributed to panic attacks (1). She was otherwise in general health.
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Authors
Sandip Mandal
Staff Grade Doctor
Emergency Department
Chase Farm Hospital
The Ridgeway
Enfield
Middlesex EN2 8JL
Arshad Ali Khan
Staff Grade Doctor
Emergency Department
Chase Farm Hospital
The Ridgeway
Enfield
Middlesex EN2 8JL
References
1. Lessmeier TJ, Gamperling D, Johnson-Liddon V, et al. Unrecognized paroxysmal supraventricular tachycardia. Potential for misdiagnosis as panic disorder. Archives of Internal Medicine 1997 157:537–543.
2. Giada F, Gulizia M, Francese M, et al. Recurrent unexplained palpitations (RUP) study: Comparison of implantable loop recorder versus conventional diagnostic strategy. Journal of the American College of Cardiology 2007 49:1951–1956.
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The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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