Why the study?
Due to vast etiologies of chest pain, many patients experience significant diagnostic delay, and clinicians need to recognize rare disease processes that mimic anxiety disorder in young, healthy females.
Highlights the importance of considering rare and overlooked disease processes as potential mimickers of anxiety disorder in young, healthy females presenting with chest pain.
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May prompt targeted evaluation in select cases; leaves open whether systematic screening improves outcomes in young women with anxiety-labeled chest pain.
Chest pain accounts for more than 7 million emergency department visits in the United States annually, making it the second most common complaint.1 Due to vast etiologies of chest pain, many experience significant delay in proper workup and diagnosis. Anxiety disorder is often considered high on the differential for young and otherwise healthy female patients who present with chest pain and undergo an unremarkable cardiac ischemic workup. However, it is important for clinicians to consider and recognize other rare and overlooked disease processes as potential mimickers of anxiety disorder.
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Golzarian et al. (2023) studied this question.
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