What is cardiac neurosis? Symptoms and treatment

In Germany, around 100,000 people suffer from cardiac neurosis. Symptoms and causes are psychological. Cardiac neurosis is an anxiety disorder. Those affected, mostly men, live in constant fear of a heart attack. This panic is often accompanied by palpitations, heart pain or heart stumbling, sometimes escalating into panic attacks.

Hand mit Stetoskop hört eine Frau ab© iStock
When anxiety determines everyday life: Around 100,000 people suffer from cardiac neurosis.

Those affected take extreme care of themselves

It is typical of cardiac neurosis that the cardiologist cannot find a physical cause. However, the symptoms are still there. Those affected then pay so much attention to themselves and are hypersensitive about how they feel - even a slight palpitation is interpreted as a sign of an impending heart attack.

Out of fear, many take it easy with every activity

The anxiety can escalate into shortness of breath, heavy sweating, dizziness and fainting. Some patients also experience real heart attacks with a genuine fear of death. Many of those affected have already suffered a heart attack and fear another one. And because they do not want to exacerbate the supposed heart problems, many take it easy and restrict their everyday activities. As a result, they lose their fitness and their heart starts to pound even with little exertion.

Repressed conflicts are often the cause

The symptoms are usually caused by unconscious fears of the person affected. Other conflicts are repressed and then affect the heart. Triggers can be events such as a separation, problems at work, a serious accident or the illness and death of a close relative or friend.

Patients should undergo psychotherapy

It is essential that the patient is thoroughly examined. If the doctor cannot find any physical causes, but the patient continues to complain about the symptoms, then psychotherapy should be started as soon as possible. Because if cardiac neurosis is not treated, it can develop into a real heart disease.