PDF(Pubmed)
Abstract：
Hypertrophic obstructive cardiomyopathy (HOCM) is a cardiovascular disease that is widely recognized as an important cause of various cardiovascular pathologies. Passed through an autosomal dominant inheritance pattern, mutations can result in cardiac dysfunction that can manifest in dyspnea, exercise intolerance, and sudden death. Panic disorder can present similarly to HOCM; however, precautions and treatment differ significantly. Here, we present a case of a 56-year-old male with a history of panic disorder who presented to the emergency department with recurrent episodes of palpitations, lightheadedness, and dyspnea, and who was subsequently hospitalized due to new ventricular tachyarrhythmia and diagnosed with HOCM. This case highlights the importance of detailed history taking, follow-up of chronic symptoms, and consideration of genetic screening for HOCM in patients with panic disorder.
摘要：
肥厚型梗阻性心肌病（HOCM）是一种心血管疾病，被广泛认为是各种心血管疾病的重要原因。通过常染色体显性遗传模式，突变可导致心脏功能障碍，表现为呼吸困难，锻炼不容忍，突然死亡。恐慌症可以与HOCM相似；然而，预防措施和治疗方法差异很大。这里,我们介绍了一例有惊恐障碍病史的56岁男性患者，他因反复发作心悸到急诊科就诊，头昏眼花,呼吸困难,随后因新的室性快速性心律失常住院并诊断为HOCM。这个案例突出了详细历史记录的重要性，慢性症状的随访，并考虑对惊恐障碍患者进行HOCM基因筛查。
