What is heart neurosis: symptoms, differential diagnosis and treatment



Heart disease neurosis does not exist. Its manifestations are usually attributed to panic disorders, corresponding to F41.0 in the ICD. Cardioneurosis is defined as a functional disorder of a psychosomatic nature. Unlike true heart disease, pathology is not associated with organic lesions. They may appear in neurosis sufferers for several years.

Most often, the disorder occurs in people from 14 to 50 years, mostly women. In men, it is noted only in 25% of cases.

Development mechanism

Neurosis of the heart is a disorder in the work of the , which leads to a breakdown of the work of the internal organs. In this case, organic lesions do not occur. The heart is still doing a great job with pumping blood. However, there is a double disruption of the connections of the autonomic nervous system with the organ:

  1. On the one hand, the psycho-emotional state, fears, fears lead to the preparation of the autonomic nervous system to repel danger. The hormonal background changes. The leading role begins to play adrenaline, norepinephrine.
  2. On the other, the chain of adequate transmission of impulses from the heart to the centers of the nervous system is broken. His normal work is accompanied by sensations of pain.

All this leads to the appearance of a circular process: the feeling of danger causes the release of adrenaline, it makes the heart beat faster, narrows blood vessels, increases . At the same time, there is some violation of the perception of the processes occurring in the body, which only increases the fears and leads to fears for their lives.

The reasons

It is noted that the manifestations of the neuroses of the heart are often characteristic of people who avoid sports and any physical activity. They smoke, drink energy, coffee, strong tea, in some cases – alcohol. Often lonely, not self-confident, unable to realize their abilities, they believe that society underestimates them. Depressive, do not believe in good. Easily vulnerable. More often attacks are characteristic of people with neurasthenia.

The disorder is diagnosed in people of creative professions, pregnant, during sudden hormonal changes. In old age, cardioneurosis may be one of the manifestations of Alzheimer’s disease.

However, not always the disorder manifests itself only in the described group of people. It affects both a strong spirit and physically human. Severe mental trauma, long-term illness leads to pathological manifestations that are associated with neurosis of the heart.

Read also … What is neurosis: symptoms and manifestations of pathological reactions

The main causes of violations are:

  1. Stress associated with exams, conflict, relocation, death, severe illness of relatives.
  2. Bad habits.
  3. Severe . In people predisposed to pathology, it can even be caused by influenza or long-lasting otitis.
  4. Overwork. Mental and physical weakens the body, making it susceptible to mental trauma.
  5. Hormonal disbalance. This is evidenced by frequent bouts of cardioneurosis in women experiencing menopause, during pregnancy, as well as in adolescents.
  6. Traumatic brain injury.


After a strong emotional stress in a situation of stress, cardioneurosis develops. Its symptoms are associated with discomfort in the heart, mental disorders, vegetative disorders.

The duration of the attack – from 15 minutes, but maybe a few hours.

A heart

The main complaints of people suffering from cardioneurosis are associated with heart pain, rhythm disturbance, palpitations. Pain can vary in intensity, location, nature. So, often appear dull, compressive pain under the shoulder blade, behind the sternum. They extend to the left arm, neck, spine. Stitching, cutting feelings appear in the region of the heart. Some patients describe a sudden emptiness in the chest. Others are afraid of pain in the nipple on the left side.

In severe cases, a person is called for an ambulance, but doctors do not find anything other than a heartbeat and pressure disorder. Organic lesions are not detected, the electrocardiogram often also does not show any changes.

Any unpleasant situation – a queue, a refusal to receive documents, a delay, an awakening with the understanding that not all issues can be settled in a day, causes tachycardia. The heart begins to beat at a frantic pace, sometimes calming down only at night.

Other heart rhythm disorders are also noted. The patient describes a condition in which the main organ for pumping blood stops its work, and then suddenly begins to work too quickly, as if trying to fly out of the chest. Signs of bradycardia are extremely rare.


Neurosis of the heart is accompanied by increased blood pressure. The situation worsens in the presence of a tendency to vascular pathologies, vegetative-vascular dystonia. Dyspnea appears, the extremities get cold, the skin turns pale, the face as if begins to burn. Sometimes the hands begin to tremble. There is sweating, numbness, as if goosebumps are running on the skin. In the eyes appear flies, there may be a doubling of objects.

A person feels terrible weakness, dizziness. In some cases, the pressure drops so much that the patient loses consciousness.

Digestive system

On the part of the digestive system, symptoms include , bloating, flatulence. Belching, nausea, often accompanied by diarrhea. Constipation is possible.

Usually, even the sight of food at the time of the attack causes a feeling of intolerance and even vomiting. A throaty sensation appears in the throat.

Genitourinary system

In cardiac neuropathy, urination is more frequent. In the genital area appears itching, soreness.

Respiratory system

Symptoms of neurosis of the heart manifest themselves in the respiratory system. A person suffers from suffocation, acute lack of air. He can not breathe deeply. There may be frequent, shallow breathing, dry, persistent cough.

Psycho-emotional features

Cardioneurosis is accompanied by temporary psycho-emotional changes. This is a tendency to increased anxiety, depression, anxiety, tearfulness. The person becomes hot-tempered, irritable. Losing the ability to see something good, positive. Sleep disturbances are noted – sleeplessness appears at night, drowsiness appears during the day.

A panic attack appears, associated with a strong fear of death that cannot be relieved. I can’t handle it myself. The signs include manifestations of psychosis – a violation of the perception of reality. There is a tendency to hysterical reactions.


If you suspect cardiac neurosis, you should consult a doctor. Due to the fact that the symptoms are very similar to heart disease, it is necessary to conduct a survey to exclude the latter.

Conduct the following studies:

  1. Blood test, general, biochemistry. In some cases, it is recommended to pass a test for hormonal status.
  2. Electrocardiography. Appointed to exclude pathologies of the heart, in particular, myocardial infarction.
  3. Ultrasound. At the discretion of the attending physician, an ultrasound of the heart, blood vessels, thyroid gland. Sometimes dopplerography of vessels is prescribed.
  4. Monitoring by Halter. The study allows to record the features of the heart during the day and later identify the features of rhythm disturbances.
  5. Bicycle ergometry. The susceptibility of a person to severe stress is investigated in order to reveal latent heart failure. Sometimes used treadmill test.
  6. X-ray. The doctor may recommend a spinal x-ray in the neck and chest area.

If the examination did not reveal signs of damage to the cardiovascular system, the diagnosis of cardioneurosis is determined. Signs of this violation at the same time disturb a person in the form of an unexpected attack several times within three months.

First aid for a seizure

Acute episodes of cardioneurosis should be stopped as soon as possible. The room where the patient is located is ventilated. Measure his pulse, if possible – the pressure, calm. If an attack occurred during a conflict, the quarrel should be stopped immediately.

In the presence of severe stressful factors, for example, an accident, the patient is tried to be led away into a calm environment, they give sedatives (Persen, valerian tincture), distract from thoughts about the danger. The sufferer himself can use the methods of respiratory gymnastics.

Deterioration, prolonged pain are indications for calling an ambulance.


Quickly past the first attack does not mean that it will not happen again. A person who has experienced an episode of neurosis is advised to consult a doctor. Before the diagnosis is determined, all appointments are made by the therapist. After – the psychotherapist.

Treatment of cardioneurosis includes medical methods, physiotherapy, the use of psychotherapeutic techniques, folk remedies.

What is heart neurosis: symptoms, differential diagnosis and treatment

Drug therapy

At the first stages of the pathology, sedatives are prescribed: Novopassit, Valocordin, Persen. With frequent manifestations of symptoms, prolonged violations are shown:

  1. Antidepressants. Drugs of this group normalize psycho-emotional background, reduce depression, anxiety. Mirtazapine, Venlafaxine is prescribed.
  2. Tranquilizers. Reduce the frequency of panic episodes, help to cope with insomnia, anxiety. Apply, in particular, Phenazepam.
  3. Analgesics. Use with headaches. This is Citramon, Nurofen.
  4. Vitamins. Improve the work of the heart, normalize the nervous system. Assigned usually complexes with vitamin B.
  5. Potassium-containing drugs. Directed to the normalization of pressure and heart function.

Psychotherapeutic methods

An important way to combat cardioneurosis is psychotherapy. A variety of methods are used: hypnosis, family, rational, cognitive-behavioral, art therapy.

Her task is to restore the mental balance of the patient, to help him cope with fears, the consequences of injuries, to learn to distinguish between himself and psycho-traumatic factors. The psychotherapist also helps to learn to overcome and stop attacks.


It has been proven that many physiotherapy products have a beneficial effect on the nervous and cardiovascular systems. This electric, Charcot’s douche, bath with essential oils, acupuncture, massage.

Patients are advised to do exercise therapy.

Folk remedies

Treat neuroses folk remedies need only after consulting a doctor. This is due to the fact that in some cases they can harm health.

It is recommended to take herbal infusions and baths:

  • To prepare a soothing bath, take 100 g of the roots of wild rose bushes or juniper branches. Crush them and boil for half an hour in two liters of water. The broth is filtered and poured into the bathroom. Take the procedure 40 minutes.
  • The collection (120 g), made up of equal amounts of lemon balm, yarrow, oregano, calamus roots, mint and pine buds, is boiled in 5 liters of water for half an hour. Filter and pour into the finished warm bath. The procedure will help restore sleep and fatigue.
  • 30 minutes before a meal, you can take a bath prepared from brewed infusion of angelica root. A tablespoon of raw materials brewed in 3 liters of water.

Tea is made from immortelle. Two spoons of the plant are brewed in 250 ml of boiling water, infused overnight and drink the entire glass before breakfast. During the day, drink a decoction of oregano, prepared in a similar way.

Symptoms of neurosis are reduced, appear less frequently, if a person observes the daily regimen, goes in for sports, receives sanatorium treatment once a year, takes a contrast shower every day, gets enough sleep.


Heart neurosis refers to pathologies that can have serious consequences. First of all, there are psycho-emotional changes. A person becomes anxious, suspicious. This leads to impaired communication with loved ones, impairment of the ability to perform their work, and seclusion.

On the other hand, constant episodes of panic, increased pressure and heart rate result in the development of angina pectoris, hypertension.

Often, people suffering from cardioneurosis easily become addicted to drugs and alcohol. The quick effect of drinking alcohol helps to feel better, to suppress negative thoughts.

With timely treatment started, 90% of people under 40 have no symptoms, no seizures. To cure people from 35 years old, suffering from frequent attacks, with a history of severe psychotrauma, is obtained approximately in 30% of cases.


It is noted that cardioneurosis almost never occurs in people who are constantly involved in sports, observing a balanced diet.

In this regard, general recommendations for the prevention of pathology include the following measures:

  • walk at least 3 kilometers a day;
  • take 30 minutes of exercise;
  • Do not smoke;
  • eat vegetable dishes;
  • learn to relax;
  • discuss real and possible problems with relatives;
  • not overwork;
  • take vitamin complexes with magnesium and B6.

Psychotraumatic situations should be avoided, and if this is not possible, try to put a barrier between themselves and them, or seek help from a psychologist or psychotherapist to avoid negative influence.


Cardioneurosis develops as a pathological reaction to traumatic factors. It manifests itself in pain and discomfort in the region of the heart, its rhythm disturbances, affects the respiratory and digestive system. If untreated, it becomes chronic, can develop into hypertension or angina.

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