Dr Muhammad Shoaib, Fazal Rehman, Sadam Hussain
Objective: to screen patients coming to cardiac emergency with chest pain suffering from panic disorder and include treatment regimens for the disorder to prevent false perception of symptoms as angina. Design: study was conducted in Jinnah hospital lahore’s cardiac emergency ward over a period of 6 months.using a sample size of 70 patients.it was a cross sectional study of consenting consective patients with presenting complain of chest pain,done by means of evaluating the symptoms of the cardiac patients via performa (psychiatric Axis) and DMS 111 criteria. Results: Out of the 70 patients that presented with complaints of chest pain about 26% (18/70)fulfilled the criteria of the DMS anxiety score showing a markedly high level of anxiety and restlessness as compared to normal patients(p=o.o1).26 percent of these patients had suicidal ideation prior to presentation while 6% of the patients did not have this problem. Whereas the rest had a valid cardiac cause of the presentation Conclusion: panic and anxiety disorder prevails highly among cardiac patients which leads to repeated emergency room visits and false perception of angina or myocardial infarction leading to waste of resources, energy and time of the health staff and the patient. Keywords: anxiety, DMS III criteria, depression, psychiatric axis.