• Patients with acute anxiety-like attacks are often evaluated for various medical conditions, and, when nothing is found, their symptoms are attributed to psychogenic causes. "β-Adrenergic hyperactivity" should be considered in these patients. Six patients are described who, we believe, are suffering from this condition. Low rates of isoproterenol hydrochloride infusion-precipitated symptoms that mimicked their spontaneous somatic anxiety attacks. Treatment with propranolol hydrochloride produced longterm symptomatic relief.
J. Donald Easton, David G. Sherman. Somatic Anxiety Attacks and Propranolol. Arch Neurol. 1976;33(10):689–691. doi:10.1001/archneur.1976.00500100023010
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