Panic disorder and the heart
Panická porucha a srdce
Práca pertraktuje manifestáciu a možnú etiopatogenézu častej komorbidity kardiovaskulárnejsymptomatiky s panickou poruchou (prolaps mitrálnej chlopne ai.). Rozoberá sa panický atakako exkluzívny ekvivalent panickej poruchy a jeho psychosomatický vzťah k „srdcu“. Častéintenzívne papocity na hrudníku s ďalšími príznakmi panického ataku nútia vylučovať ichorganickú príčinu. Jestvujú palarely (najskôr patobiochemické - neurotransmiterové) medzineurovegetatívnou búrkou definujúcou panický atak a kardiovaskulárnou symptomatikou.Z neurobiologického a psychosomatického aspektu sa zdá, že u panickej poruchy ako frekventovanejafekcie sa srdce stáva cieľovým terčom jej frapantného klinického obrazu, ktorý trebaposudzovať interdisciplinárne.
Klíčová slova:
panická porucha - kardiovaskulárne symptómy.
Authors:
P. Kukumberg
Authors place of work:
II. neurologická klinika LF UK FNsP akademika L. Dérera, Bratislava, prednosta prof. MUDr. P. Kukumberg, PhD.
Published in the journal:
Prakt. Lék. 2004; (1): 5-7
Category:
Summary
The paper concerns itself with itsmanifestation and the possible etiology of the frequent presenceof cardiovascular symptomatology in panic disorder (prolapse of the mitral valve, etc.). Analyzedis the panic attack as an exclusive equivalent of the panic disorder, as well as its psychosomaticrelation with „the heart“. Frequent intensive paresthesias in the chest along with other signs ofthe panic attack forces the author to rule out their organic cause. There are parallels (at firstpathobiochemical - affecting the neurotransmitters) between a neurovegetative stormdefining thepanic attack, and cardiovascular symptomatology. From the neurobiological and psychosomaticaspects it seems that in panic disorder the heart frequently becomes the target of its strikingclinical picture which should be assessed with an interdisciplinary approach.
Key words:
panic disorder - cardiovascular symptoms.
Štítky
General practitioner for children and adolescents General practitioner for adultsČlánok vyšiel v časopise
General Practitioner
2004 Číslo 1
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