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. 2015 Mar 25:4:33.
doi: 10.1186/s13643-015-0026-2.

Panic disorder and incident coronary heart disease: a systematic review and meta-analysis protocol

Phillip J Tully  1   2 , Gary A Wittert  3 , Deborah A Turnbull  4 , John F Beltrame  5 , John D Horowitz  6 , Suzanne Cosh  7 , Harald Baumeister  8
Affiliations

Panic disorder and incident coronary heart disease: a systematic review and meta-analysis protocol

Phillip J Tully et al. Syst Rev. .

Abstract

Background: The clinical presentation of panic disorder and panic attack overlaps many symptoms typically experienced in coronary heart disease (CHD). Etiological links between panic disorder and CHD are controversial and remain largely tenuous. This systematic review aims to pool together data regarding panic disorder with respect to incident CHD or myocardial infarction.

Methods/design: Electronic databases (MEDLINE, EMBASE, PsycINFO and SCOPUS) will be searched using a search strategy exploding the topics for CHD and panic disorder. Authors and reference lists of included studies will also be contacted to identify additional published and unpublished studies. Eligibility criteria are as follows:

Population: persons without CHD who meet criteria for panic disorder, panic attack, anxiety neurosis or elevated panic disorder symptoms; Comparison: persons without CHD who do not meet criteria for panic disorder, panic attack, anxiety neurosis or elevated panic disorder symptoms;

Outcome: verified fatal and non-fatal CHD at follow-up; including coronary revascularization procedure, coronary artery disease, and myocardial infarction. Studies adopting self-report CHD will be ineligible. Screening will be undertaken by two independent reviewers with disagreements resolved through discussion. Data extraction will include original data specified as hazard ratios, risk ratios, and original cell data if available. Risk of bias assessment will be undertaken by two independent reviewers. Meta-analytic methods will be used to synthesize the data collected relating to the CHD outcomes with Cochrane Review Manager 5.3.

Discussion: This systematic review aims to clarify whether panic disorder is associated with elevated risk for subsequent CHD. An evaluation of the etiological links between panic disorder with incident CHD might inform evidence-based clinical practice and policy concerning triaging chest pain patients, diagnostic assessment, and psychiatric intervention with panic disorder patients.

Systematic review registration: PROSPERO CRD42014014891 .

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References

    1. Wittchen HU, Jacobi F, Rehm J, Gustavsson A, Svensson M, Jonsson B, et al. The size and burden of mental disorders and other disorders of the brain in Europe 2010. Eur Neuropsychopharmacol. 2011;21:655–79. doi: 10.1016/j.euroneuro.2011.07.018. - DOI - PubMed
    1. Roy-Byrne PP, Davidson KW, Kessler RC, Asmundson GJ, Goodwin RD, Kubzansky L, et al. Anxiety disorders and comorbid medical illness. Gen Hosp Psychiatry. 2008;30:208–25. doi: 10.1016/j.genhosppsych.2007.12.006. - DOI - PubMed
    1. Coley KC, Saul MI, Seybert AL. Economic burden of not recognizing panic disorder in the emergency department. J Emerg Med. 2009;36:3–7. doi: 10.1016/j.jemermed.2007.06.002. - DOI - PubMed
    1. Lamb CE, Ratner PH, Johnson CE, Ambegaonkar AJ, Joshi AV, Day D, et al. Economic impact of workplace productivity losses due to allergic rhinitis compared with select medical conditions in the United States from an employer perspective. Curr Med Res Opin. 2006;22:1203–10. doi: 10.1185/030079906X112552. - DOI - PubMed
    1. Baxter AJ, Vos T, Scott KM, Norman RE, Flaxman AD, Blore J, et al. The regional distribution of anxiety disorders: implications for the global burden of disease study, 2010. Int J Methods Psychiatric Research. 2014;23:422–38. doi: 10.1002/mpr.1444. - DOI - PMC - PubMed

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