Why the study?
Panic disorder can present similarly to HOCM, but precautions and treatment differ significantly.
This case highlights the importance of considering hypertrophic obstructive cardiomyopathy in the differential diagnosis of patients presenting with symptoms attributed to panic disorder.
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Supports considering HOCM evaluation in panic disorder patients with atypical features; hypothesis-generating and requires prospective validation before practice change.
Hypertrophic obstructive cardiomyopathy (HOCM) is a cardiovascular disease that is widely recognized as an important cause of various cardiovascular pathologies. Passed through an autosomal dominant inheritance pattern, mutations can result in cardiac dysfunction that can manifest in dyspnea, exercise intolerance, and sudden death. Panic disorder can present similarly to HOCM; however, precautions and treatment differ significantly. Here, we present a case of a 56-year-old male with a history of panic disorder who presented to the emergency department with recurrent episodes of palpitations, lightheadedness, and dyspnea, and who was subsequently hospitalized due to new ventricular tachyarrhythmia and diagnosed with HOCM. This case highlights the importance of detailed history taking, follow-up of chronic symptoms, and consideration of genetic screening for HOCM in patients with panic disorder.
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Bonitz et al. (2022) studied this question.
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