Mitral Valve Prolapse in Patients with Panic Attacks in Korea
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Since DaCosta described in 1871 the syndrome
bearing his name, clinicians have diagnosed an admix-
ture of cardiac symptoms and panic symptoms under
such terms as irritable heart, soldier's heart, effort syn-
drome or neurocirculatory asthenia (Wooley 1976).
The discovery of two new diagnostic entities of mitral
valve prolapse (MVP) and panic disorder has the
potential to clarify the diagnosis.
MVP is a generally benign cardiac abnormality
ocurring in 5 to 10% of the general population in
Western countries (Markiewicz et al. 1976; Darsee eí
al. 1979). It has an autosomal dominant genetic
transmission and is prevalent in women (Devereux ef
al. 1982). Although most people with MVP are asymp-
tomatic, symptomatic patients may experience
tachycardia, arrhythmia, palpitations, syncope, fatigue,
dyspnea or atypical chest pain similar to the anxeity
state (Davereux et al. 1976; Boudoulas ef al. 1984).