Medical or physiological mimic

First severe anxiety with chest pain, collapse, dyspnoea, syncope, tremor, autonomic change

RoutineReview due

At a glance

ACS, arrhythmia, asthma, PE, thyrotoxicosis, hypoglycaemia, phaeochromocytoma.

Watch forACSarrhythmiaasthmaPE

Abrupt peak over minutes, recurrent unexpected attacks, anticipatory anxiety or avoidance.

Separates the Anxiety / Panic / Obsessions / Health Anxiety group. It is not specific to Medical or physiological mimic.

Rows marked “Whole group”: Applies to the Anxiety / Panic / Obsessions / Health Anxiety group — not specific to Medical or physiological mimic

First severe anxiety with chest pain, collapse, dyspnoea, syncope, tremor, autonomic change

Key features

ACS, arrhythmia, asthma, PE, thyrotoxicosis, hypoglycaemia, phaeochromocytoma.

High-risk causes7 causes

Applies to the Anxiety / Panic / Obsessions / Health Anxiety group.

Abrupt peak over minutes, recurrent unexpected attacks, anticipatory anxiety or avoidance.

Helpful clues

Applies to the Anxiety / Panic / Obsessions / Health Anxiety group.

None listed

Priority steps

Applies to the Anxiety / Panic / Obsessions / Health Anxiety group.

None listed

Core tests

Applies to the Anxiety / Panic / Obsessions / Health Anxiety group.

None listed

Consider

Clinical reference — not validated decision support. Review before use.