Trastorno de pánico y fibrilación auricular / Panic disorder and atrial fibrillation

Este trabajo analiza la relación bidireccional entre la fibrilación auricular y el trastorno de pánico. El diagnóstico diferencial se plantea frecuentemente en los servicios de urgencias y en la consulta del médico de atención primaria. Diferentes estudios nos hablan de una alta tasa de prevalencia de trastornos de ansiedad en pacientes que han recibido el diagnóstico de fibrilación auricular. Por otra parte, se ha observado que los pacientes con trastornos de ansiedad presentan una mayor prevalencia de enfermedades cardiovascular. Los pacientes con trastorno de pánico presentarán con frecuencia quejas somáticas indicativas de enfermedad cardíaca que es obligatorio descartar mediante pruebas complementarias. El correcto diagnóstico conlleva, además, el tratamiento considerado óptimo para cada afección y, como consecuencia, la reducción del gasto sanitario (AU)

This paper studies the relationship between atrial fibrillation and panic disorder. There are often doubts on the differential diagnosis in emergency services and general medical settings. Panic disorder prevalence rates have been found to be high in patients suffering from atrial fibrillation. Various studies have observed that patients diagnosed with anxiety disorders frequently have higher cardiovascular disease rates compared to the general population. Usually, patients suffering from panic disorder exhibit somatic complaints suggesting coronary disease, such as chest pain or palpitations. The aim is to make the correct diagnosis and treatment for these different illnesses, and to decrease the costs due to misdiagnosis (AU)

[Panic disorder and atrial fibrillation]. / Trastorno de pánico y fibrilación auricular.

This paper studies the relationship between atrial fibrillation and panic disorder. There are often doubts on the differential diagnosis in emergency services and general medical settings. Panic disorder prevalence rates have been found to be high in patients suffering from atrial fibrillation. Various studies have observed that patients diagnosed with anxiety disorders frequently have higher cardiovascular disease rates compared to the general population. Usually, patients suffering from panic disorder exhibit somatic complaints suggesting coronary disease, such as chest pain or palpitations. The aim is to make the correct diagnosis and treatment for these different illnesses, and to decrease the costs due to misdiagnosis.

Alteraciones del comportamiento, fiebre y mutismo. Viejo reto para médicos actuales / Behaviour changes, fever and mutism. An old challenge for present doctors

Presentamos el caso de una mujer de 65 años con fiebre, alteraciones del comportamiento y mutismo. En el diagnóstico diferencial del síndrome febril con alteraciones neuropsiquiátricas es fundamental realizar un estudio sistemático para llegar a un conocimiento temprano de la etiología del cuadro, que nos permita realizar un correcto tratamiento. En este caso, el diagnóstico temprano de catatonia maligna permitió aplicar tratamiento específico con terapia electroconvulsiva, con una pronta y favorable evolución. En este artículo, proponemos una conducta diagnóstica que se debe seguir que creemos puede resultar de utilidad en la práctica médica diaria (AU)

We present a case of a 65-year-old woman with fever, behaviour disorder and mutism. The differential diagnosis of fever and neuropsychiatric disorders requires a systematic study to get an early understanding of the aetiology, allowing us to provide the correct treatment. In our case, the early diagnosis of malignant catatonia enabled us to give our patient electroconvulsive therapy, achieving a spectacular improvement. In this article, we suggest an algorithm that could be useful in daily medical practice (AU)