Pathology - Panic Attack
Pathophysiology Palpitations, sweating, shaking, feeling of suffocation or shortness of breath, feeling of choking, chest pain or discomfort, nausea or abdominal distress, derealization or depersonalization, fear of losing control, fear of dying, paresthesias, chills, or hot flashes are just a few of the symptoms that can accompany a panic attack. There must be a time of extreme fear or discomfort during the attack, and at least four symptoms must appear suddenly and peak in less than ten minutes. When a young, healthy patient experiences chest pain and has otherwise normal findings, this should be taken into consideration, especially if there has been a precipitating event. In this instance, the disagreement might have set off the patient's attack. Frequent, unplanned panic attacks or a continual fear of experiencing a panic attack or its aftereffects are the hallmarks of panic disorder. The fear of public places, known as agoraphobia, may or may not accompany this. A specific phobia is defined by panic attacks that occur when one is exposed to particular situations. The presence of cocaine-induced myocardial ischemia, which can be detected by a urine drug panel and ECG, must be ruled out.
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