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

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 Authors and reference lists of included studies will also be contacted to identify additional published and unpublished studies.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.

Keywords

Panic disorder - Panic attack - Anxiety disorder - Anxiety neurosis - Coronary heart disease - Myocardial infarction - Systematic review - Meta-analysis - Protocol - Etiology

Object Details

• Location: Deutsche Nationalbibliothek Frankfurt am Main
• Extent: Online-Ressource
• Language: Englisch
• Notes: Systematic Reviews. 4 (2015), 33, DOI 10.1186/s13643-015-0026-2, issn: 2046-4053 ; IN COPYRIGHT http://rightsstatements.org/page/InC/1.0 rs

Classification and Topics

• Keyword: Paniksyndrom ; Panikreaktion ; Angststörung ; Generalisierte Angststörung ; Koronare Herzkrankheit ; Herzinfarkt ; Überprüfung ; Metaanalyse ; Ätiologie ; Kardiovaskuläre Krankheit

Contributors, Places and Time

• Event: Veröffentlichung
• (where): Freiburg
• (who): Universität
• (when): 2015
• Creator: Tully, Phillip J. ; Wittert, Gary ; Turnbull, Deborah A. ; Baumeister, Harald
• Contributor: Albert-Ludwigs-Universität Freiburg. Abteilung für Rehabilitationspsychologie und Psychotherapie ; Albert-Ludwigs-Universität Freiburg. Wirtschafts- und Verhaltenswissenschaftliche Fakultät ; Albert-Ludwigs-Universität Freiburg

Further information

• DOI: 10.1186/s13643-015-0026-2
• URN: urn:nbn:de:bsz:25-freidok-125349
• Rights: Der Zugriff auf das Objekt ist unbeschränkt möglich.
• Last update: 15.08.2025, 7:38 AM CEST