21 de noviembre de 2011

Association Between Idiopathic Mitral Valve Prolapse and Panic Disorder

Asociacion entre prolapso ideopatico de la valvula mitral y trastorno de panico

Lut Tamam, Nurgul Ozpoyraz, Mustafa
1 S, Aanbdi Bozkur1t

De part ments of Psy chi a try a
1nCda r di ol ogy, Cukurova Uni ver sity Fac ulty of Med i cine, Adana, Tur key

Aim.
To eval u ate the as so ci a tion be tween id io pathic mi tral valve pro lapse and panic dis or d er.

Methods.
The study com prised 50 pa tients with id io pathic mi tral valve pro lapse, 50 pa tients with panic dis or der, and 50

healthy con trols. All sub jects un der went echocardiographic eval u a tion. If id io pathic mi tral valve pro lapse was pres ent, the level of pro lapse was mea sured. To reach psy chi at ric di ag no sis, the Struc tured Clin i cal In ter view for DSM-IV Axis I Dis or -ders, cli ni cian ver sion, was ad min is tered to all sub jects. For psychometric eval u a tion, all sub jects com pleted the Symp tom Check List, Beck De pres sion In ven tory, and State and Trait Anx i ety In ven tory.

Re sults
T. he prev a lence of panic dis or der was 16% in pa tients with id io pathic mi tral valve pro lapse, and 2% in healthy con trols (p=0.03). The av er age scores on all psychometric scales were the high est in the panic dis or der group, whereas av er age scores  in id io pathic mi tral valve pro lapse group were sig nif i cantly higher than in the con trol group (p<0.001). Id io pathic mi tral valve  pro lapse and panic dis or der groups dis played sim i lar fea tures of panic at tack symp toms. Panic dis or der cases with id io pathic mi tral valve pro lapse and those with out it did not sig nif i cantly dif fer in terms of psychometric eval u a tions and clin i cal symptoms.

Con clu sion
T. he pos si bil ity of comorbidity of panic dis or der and id io pathic mi tral valve pro lapse should be taken into ac count in the ap proach to the pa tients di ag nosed with ei ther of the dis or ders.

Key words:
anx i ety, car di ol ogy; de pres sion; echocardiography; mi tral valve pro lapse; panic dis or der, prev a lence; psy chi a try; psychopathology;

Tur key