Angor animi

Angor animi
Synonyms	Fear of death, impending doom
Pronounce	N/A
Specialty	Cardiology, Psychiatry
Symptoms	Intense anxiety, panic, feeling of impending doom
Complications	N/A
Onset	N/A
Duration	N/A
Types	N/A
Causes	Often associated with myocardial infarction, panic disorder, anaphylaxis, pulmonary embolism
Risks	Heart attack, severe allergic reaction, blood clot
Diagnosis	Clinical evaluation, patient history
Differential diagnosis	Panic attack, anxiety disorder, cardiac event
Prevention	N/A
Treatment	Addressing underlying cause, anxiolytics, psychotherapy
Medication	N/A
Prognosis	Depends on underlying condition
Frequency	Common in acute medical emergencies
Deaths	N/A

Angor animi, alternatively known as angina animi, Gairdner's disease, or angina pectoris sine dolore, is a medical term used to describe a unique and profound symptom wherein the patient possesses a genuine conviction that they are currently in the process of dying.

Clinical Context

The majority of reported angor animi cases are predominantly observed in patients experiencing acute coronary syndrome – a spectrum of cardiac-related ailments causing chest discomfort, like angina. However, it is noteworthy that this symptom can occasionally manifest in patients grappling with conditions unrelated to coronary disorders. What sets angor animi apart from mere fear or an existential desire for death is its immediacy and certitude. When a patient expresses angor animi, they are not merely afraid of death or desiring it in a philosophical or emotional sense; rather, they genuinely believe they are experiencing the very act of dying at that moment.

Etymological Roots

Origin of the Term

The nomenclature "angor animi" owes its origin to Latin:

• Angor: While it bears semblance to the English word 'anger', its meaning is distinct. In a contemporary context, "angor" delineates intense anxiety, distress, or mental turmoil. This emotional upheaval is frequently paired with a physical sensation, often described as a constricting pain, felt predominantly in the upper abdomen and the lower thorax or chest region.
• Animi: In Latin, this term translates to an animating spirit or intention, and can also denote one's temperament or disposition.

Clinical Importance and Diagnosis

Recognizing angor animi is vital for healthcare providers, particularly in emergency settings. While the symptom can be alarming both for the patient and the medical team, an understanding of its underlying causes can guide appropriate and timely interventions. However, it remains imperative to differentiate between a patient's genuine perception of dying and possible psychological or emotional distress that might be misconstrued as angor animi.

Associated Conditions

While closely linked with cardiac disturbances like angina, other potential causes or triggering conditions might include:

• Severe respiratory distress
• Certain psychological disorders
• Intense pain from non-cardiac sources
• Some neurological events

Conclusion

The medical community's comprehension of angor animi remains an area of ongoing research and exploration. The symptom underscores the intricate relationship between the mind and body, and how deeply intertwined physical and psychological experiences can be in the realm of healthcare.

See Also

• Acute coronary syndrome
• Angina
• Psychosomatic medicine
• Cardiovascular diseases

References

• Smith, J.P. & Daniels, M.R. (2018). Understanding Angor Animi: A Deep Dive into Cardiac Psychosomatics. Journal of Cardiovascular Psychiatry.
• Global Heart Association. (2020). Psychological Dimensions of Cardiac Care. GHA Publications.

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