With various reaction time paradigms, panic patients have been shown to hav
e selective attention for threatening sensations. However, almost all of th
ese paradigms use words describing sensations and not the threatening sensa
tions themselves. To increase the ecological validity, in the current study
selective attention for heartbeat information was measured with a paradigm
derived from the dot probe detection task but using 'real' heartbeat infor
mation instead of words. The results indeed showed selective attention for
ECG information in panic patients. However, an accelerated ECG did not attr
act the attention of panic patients more than a slower EGG. Against expecta
tion, both panic patients and normal controls shifted their attention away
from an accelerated EGG. Possible explanations are explored. (C) 1999 Elsev
ier Science Ltd. All rights reserved.