Panic common in patients with orthostatic hypotension
by Bruce Jancin
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DENVER -- Patients with orthostatic hypotension might constitute an important new subgroup of patients with panic disorder, Dr. Ramesh K. Khurana reported at the annual meeting of the American Academy of Neurology.
He had 19 unselected patients with disabling symptoms of orthostatic intolerance, 39 migraineurs, and 15 normal controls fill out the 17-item Acute Panic Inventory a self-rating instrument widely used in psychiatric research on panic disorders.
The mean score among controls was 0.8 out of a possible 51 points. Patients with migraine had a mean score of 6.8. Those with orthostatic intolerance had a mean score of 26.3.
All normal controls had a score of less than 4. The highest score in a migraineur was 16 even though migraine, like orthostatic intolerance, is a vasomotor disorder, said Dr. Khurana, a neurologist at Union Memorial Hospital in Baltimore.
At least 13 of the 19 patients with orthostatic intolerance would qualify as having panic attacks by standard diagnostic criteria, he added.
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