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- W2049360078 abstract "<h3>To the Editor.—</h3> The comprehensive review of the click-murmur syndrome (CMS) by Melvin D. Cheitlan, MD, and Randolph C. Byrd, MD (1981; 245:1357), failed to address the increased incidence of psychiatric morbidity in persons with this syndrome. The nonspecific presenting complaints in these patients (eg, palpitations, dizziness, fatigue, or weakness) demonstrate considerable overlap with the symptoms of chronic anxiety disorders.<sup>1</sup>While the authors caution against inducing a cardiac neurosis by emphasizing the remote risks of complications, recent reports have demonstrated an increased incidence of CMS in patients with anxiety neurosis,<sup>2</sup>agoraphobia,<sup>3</sup>and panic attacks.<sup>4</sup>Patients with CMS show an adverse response to exercise and psychological stress when compared with normal control subjects.<sup>2</sup>While these complications are not as dramatic as stroke or endocarditis, they can greatly impair a person and are responsive to treatment. Given the ubiquity of CMS and anxiety disorders, physicians evaluating and" @default.
- W2049360078 created "2016-06-24" @default.
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- W2049360078 date "1981-11-13" @default.
- W2049360078 modified "2023-09-25" @default.
- W2049360078 title "The Click-Murmur Syndrome and Anxiety Disorder" @default.
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- W2049360078 doi "https://doi.org/10.1001/jama.1981.03320190016014" @default.
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