TY  - JOUR
T1  - CHest pain not always what it seems; panic disorder may be cause in some
AU  - Raymond C
Y1  - 1989/02/24
N1  - 10.1001/jama.1989.03420080013002
JO  - JAMA
SP  - 1101
EP  - 1102
VL  - 261
IS  - 8
N2  - UP TO ONE THIRD of persons referred for coronary angiography have normal angiograms. Many of those persons may actually be suffering from panic disorder, according to a Seattle investigator."With better training of primary care physicians, we may be able to screen out these persons" and avoid costly and potentially dangerous angiograms, says Wayne Katon, MD. Proper diagnosis would also facilitate more effective treatment, he says.Other Explanations Possible 
    Others caution that there can be explanations for chest pain besides psychiatric problems. "As a group, patients with chest pain and normal angiograms are a heterogeneous population, and there is no one explanation," says Richard O. Cannon, MD, co-director of the Cardiovascular Diagnosis Section of the National Heart, Lung, and Blood Institute in Bethesda, Md. Cannon has been assessing a group of such patients with normal angiograms and is finding evidence for a still controversial disorder he calls "microvascular angina."Katon,
SN  - 0098-7484
M3  - doi: 10.1001/jama.1989.03420080013002
UR  - http://dx.doi.org/10.1001/jama.1989.03420080013002
ER  -