Do not treat “panic attack” as a “heart attack”

  Panic attacks are a common psychological disorder found in emergency departments and cardiology departments of general hospitals. Patients often think they are “having a heart attack,” “going crazy,” or “going to faint” because of a series of frightening sensations. Many people still do not understand this psychological disorder, and doctors and patients often mistake the physical symptoms of a panic attack for a serious physical illness, such as panic attacks, chest tightness, and sweating for a “heart attack”. I once read a report that one night, a beautiful young Miss Yang suddenly felt tightness in the chest, shortness of breath, as if her heart was about to jump out of her mouth, and sweating profusely, trembling all over, extremely fearful, uncontrollable, with a feeling of imminent suffocation and imminent death. She shouted for help and immediately went to the hospital for emergency treatment. Seeing this, her family quickly called an ambulance to take her to a nearby hospital. When she arrived at the emergency department of the hospital, the above feeling disappeared without a trace. Doctors found no abnormalities after examination, electrocardiogram did not see any abnormalities, so we had to treat the symptoms and let Miss Yang go home. But in the week after that, Miss Yang had two more episodes, each with no obvious cause. Reluctantly, the doctor had to send Miss Yang into the emergency observation ward for examination. During the observation period, the doctor did 24-hour cardiac monitoring and related tests for her, the results came to nothing, but the seizures did not end. After consultation with a psychiatrist, the diagnosis of “panic attacks” (also known as acute anxiety attacks), after the use of anxiolytic drugs and psychotherapy, Miss Yang’s disease no longer attack.  The so-called panic disorder is a neurological disorder in which recurrent panic attacks are the main primary symptom. There are four characteristics of panic attacks: 1. no obvious trigger, no relevant specific context, and unpredictable attacks.      2. In the interictal period, there are no obvious symptoms except the fear of having another attack.      3, the seizure manifests in addition to intense fear, anxiety and obvious autonomic neurosis, and often has a painful experience such as depersonalization, dissolution of reality, near-death fear or a sense of loss of control.      4. The seizure starts suddenly, reaches its peak quickly, is clearly conscious during the seizure, and can be recalled afterwards.  In fact, panic attacks are a more common psychological disorder in the emergency departments of general hospitals as well as in cardiology. Patients often think they are “having a heart attack”, “going crazy” or “going to faint” because of a series of frightening feelings. Although the panic attack usually lasts only 15-30 minutes, the patient is in extreme terror and pain. Even after arriving at the hospital and being medically examined and proven not to have a heart attack, the patient still has palpitations about such attacks. Treatment of panic attacks is advisable to first control the symptoms with medications (such as anti-anxiety medications or antidepressants), followed by psychotherapy and cognitive-behavioral therapy to improve the patient’s anticipatory anxiety about the panic attack, and finally to further analyze the psychological conflict behind the anxiety and try to find and untie the knot to completely eliminate the root cause of the panic attack.  In daily life, patients should do what they can with their symptoms and not pay too much attention to their symptoms. Even at home, patients should engage in household chores and recreational activities as much as possible to divert attention from anxiety in order to break the vicious cycle of panic attacks.