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Cerebral correlates of heart rate variations during a spontaneous panic attack in the fMRI scanner


Spiegelhalder, K; Hornyak, M; Kyle, S D; Paul, D; Blechert, J; Seifritz, E; Hennig, J; Tebartz van Elst, L; Riemann, D; Feige, B (2009). Cerebral correlates of heart rate variations during a spontaneous panic attack in the fMRI scanner. Neurocase, 15(6):527-534.

Abstract

We report the first published case study of a suddenly occurring panic attack in a patient with no prior history of panic disorder during combined functional magnetic resonance imaging (fMRI, 1.5 Tesla) and electrocardiogram (ECG) recording. The single case was a 46-year-old woman who developed a panic attack near the planned end of the fMRI acquisition session, which therefore had to be aborted. Correlational analysis of heart rate fluctuations and fMRI data revealed a significant negative association in the left middle temporal gyrus. Additionally, regions-of-interest (ROI) analyses indicated significant positive associations in the left amygdala, and trends towards significance in the right amygdala and left insula.

Abstract

We report the first published case study of a suddenly occurring panic attack in a patient with no prior history of panic disorder during combined functional magnetic resonance imaging (fMRI, 1.5 Tesla) and electrocardiogram (ECG) recording. The single case was a 46-year-old woman who developed a panic attack near the planned end of the fMRI acquisition session, which therefore had to be aborted. Correlational analysis of heart rate fluctuations and fMRI data revealed a significant negative association in the left middle temporal gyrus. Additionally, regions-of-interest (ROI) analyses indicated significant positive associations in the left amygdala, and trends towards significance in the right amygdala and left insula.

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12 citations in Web of Science®
13 citations in Scopus®
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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Psychiatric University Hospital Zurich > Clinic for Psychiatry, Psychotherapy, and Psychosomatics
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:December 2009
Deposited On:09 Mar 2010 11:19
Last Modified:05 Apr 2016 14:02
Publisher:Taylor & Francis Group
ISSN:1355-4794
Publisher DOI:https://doi.org/10.1080/13554790903066909
PubMed ID:19657971

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