Electrocardiography (Holter) study of patients with panic attacks
Kerbala Journal of Medicine,
2014, Volume 7, Issue 2, Pages 1870-1877
Abstractbackground: many patients complaining of palpitations seem to have normal electrocardiography (ECG).
Aim: to study the 24-hours electrocardiography of patients with panic attacks.
Material and Methods: fifty patients with panic attacks were studied by Holter monitoring for 24 hours each.
Results: Holter monitoring showed ectopic beats in all 50 patients. No other arrhythmia was recorded.
Smoking was significantly associated with having more ectopic beats per day.
Discussion: panic attacks are not well understood. Some link it to autonomic instability. Some studies had found that some people diagnosed with panic disorder are having paroxysmal supraventricular tachycardia (PSVT). No one of the 50 patients we studied had PSVT. On the other hand, all of the 50 patients had several ectopic beats per day.
Conclusion: it seems that ectopic beats are very common among patients with panic attacks.
Keywords: panic, Holter, ectopic
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