Heart neurosis - This is a kind of functional cardiac pathology. It is also called cardioneurosis. The performance of the heart is characterized by autonomy, as a result of which its functioning during normal activity is not noticed. The causes of cardiac neurosis are associated with intense physical exertion or strong emotional overstrain, which provokes the acceleration of cardiac activity. Thus, answering the question of the townsfolk: "neurosis of the heart, what is it?" You can imagine it as one of the types of nervous breakdown. It is observed in almost 10% of the population. People who are characterized by a weak psyche and temperament of a melancholic person are more often affected.
The described ailment is a frequent symptom of general neurotic states.
Heart neurosis, what is it? The term “neurosis of the heart” is usually understood to mean a functional disorder of the heart’s work that occurs on the background of mental disorders, for example, in hysteria.
The mechanism of origin and further development of the disease described is to weaken the activity of the cerebral cortex, as a result of which dysfunction occurs in the subcortical centers of the ganglion nervous system.
Factors predisposing to the emergence of cardioneurosis are:
- various infectious diseases, including neuroinfection;
- hormonal disruptions (for example, in the puberty period, during menopause or pregnancy); manifestations of emotional lability;
- various diseases that caused chronic fatigue of the body;
- traumatic brain injury.
Despite the above typical factors for the occurrence of the described pathology, the most common causes of heart neurosis are stressful situations, excessive physical exertion and mental overstrain. Also a huge role in the dysfunction of the vegetative regulation of cardiac activity is played by the use of alcoholic and caffeine-containing beverages, and smoking.
Neurosis of the heart, its symptoms and treatment are not very diverse and complex. The most common symptom of this disorder is chest pain, as well as uncomfortable painful sensations in the region of the heart. Often, such sensations may radiate to the left shoulder blade and arm. Heartbeat interruptions can occur even with minor anxiety or excitement. In addition, in patients with individuals, the appearance of feeling is observed, as if the heart stops, there is an attack of palpitations or a strong pulsation felt by the whole body. Cardialgias vary in duration and nature. They can be aching or stitching, short-term and lasting a few minutes. Also, patients may feel a "lump" in the throat. It is often difficult for them to breathe in, resulting in a feeling of air deficiency, leading to a feeling of suffocation.
Symptoms of cardioneurosis:
- subfebrile temperature with its subsequent decrease (below 36 ° C);
- labile blood pressure;
- the appearance of dyspeptic disorders in the form of nausea, which has no connection with food intake, vomiting, belching, pain in the abdomen;
- rapid fatigability with a slight load;
- general weakness and asthenia;
- constant drowsiness or vice versa insomnia;
- unexpected hot flashes or heat;
- increased sweating;
- numbness of the limbs;
- redness of the chest and face, parasthesia.
If the signs of cardioneurosis appear on the background of depressive mental disorders, then the following symptoms are often noted: feeling of sadness, tremor of the extremities, feeling of tension inside, fear of death, tearfulness.
Heart neurosis is often accompanied by various phobias (especially cardiophobia). In addition, often panic attack and neurosis of the heart go together, in essence, they are one ailment. Cardiac neurosis is considered to be characterized by a variety of clinical manifestations, but the most frequent symptoms are still heart pains and panic attacks, which are an agonizing, inexplicable attack of anxiety, accompanied by a feeling of fear combined with a variety of somatic symptoms.
Panic attack and neurosis of the heart have a certain dynamics of dysfunction of the nervous system, such as avoiding the possibility of facing an outsider, hypochondria.
Heart pain with neurosis
Cardioneurosis is more often a symptom of general neurosis, in other words, it is a consequence of dysfunction of the nervous system.
With the neurosis of the heart, there is no so-called organic pathology or structural damage to the cardiac tissue, but there are pains in the sternum area.
Most neurosis occurs in individuals, characterized by a certain structure of higher nervous activity. In other words, subjects more prone to anxiety, emotional lability, causeless anxiety are more susceptible to neurosis.
The cause of the neurosis of the heart is often hidden in the children's age period. For example, children raised in conditions of increased care, accustomed to obeying strong parents, unable to make independent decisions and defend their own position, are more likely to give birth to cardioneurosis. After all, in adulthood, they are rather dependent on familiar surroundings, they constantly fear the negative impact on their own lives and prefer not to resist life's troubles, but to go with the flow. The main concern of such people is the state of their own health. It does not matter if there are objective reasons for concern.
Cardioneurosis is considered a type of nervous breakdown. It can be triggered, for example, by the death of a loved one, an emotional breakdown in relationships, changes in the familiar living environment, etc. In such conditions, an uncontrollable persistent fear of dying from a cardiovascular pathology arises. In the future, any change in the person’s mood (in the direction of deterioration or improvement), a slight emotional shake up, so that heart pains and complaints of disturbance of the heart activity appear, which further increase the anxiety in relation to one's own health, and multiplies the fear of dying. Thus, a vicious circle is formed: experiences give rise to symptoms of dysfunction of cardiac activity, which in turn provokes an escalation of anxiety, causing even greater deterioration of the condition. Breaking such a vicious circle is quite difficult.
Neurosis of the heart, symptoms and treatment in this case implies psychological assistance rather than medical therapy. Since the symptoms of cardioneurosis are not caused by a somatic disorder.
Heart pains in this type of neurosis are caused solely by the presence of increased anxiety, in other words, they are triggered by thoughts of a possible disruption of cardiac activity. There is no other reason for the occurrence of cardialgia. However, a person who is constantly in a state of heightened anxiety feels real pain in the retrosternal space. Therefore, such patients become quite suspicious, invariably change doctors, voluntarily subject themselves to numerous repeated analyzes and examinations, but they cannot find the real cause of their own illness.
It follows that the neurosis of the heart develops incrementally. After all, the reason for the discomfort in the chest region is not established, therefore, there is reason for even greater concern. In other words, the individual forms a borderline obsessive state, which in addition to heart pain, and other symptoms appear.
A person suffering from heart neurosis has a characteristic behavior. He is immersed in himself, his thoughts revolve exclusively around his own painful condition. Patients with cardiac neurosis are indifferent to the world and environmental problems. Even the problems of close faces they do not care. At the same time, they describe their own state in some detail and with great care, listing in detail all the symptoms, their severity, time of appearance and character. Usually, they complain of fatigue, general breakdown, tearfulness, apathy, inability to concentrate, to perform work that requires precise action or concentration.
Painful sensations in the retrosternal space during cardiac neurosis may vary in duration and character. They are paroxysmal or multi-day not disappearing. Different patients feel different variations of pain: pressure and pressure, aching and dull pain, sharp and piercing pain. In addition, it is possible to spread cardialgia to the entire surface of the chest, as well as to the neck, upper limb and lower jaw.
In addition to pain in the heart area, cardiac neurosis often also has other symptoms, such as shortness of breath, shortness of breath, increased heart rate, pulsation in large capillaries, fluctuations in blood pressure, dizziness, and some others.
According to the appearance of the subject, the description of his own state and a number of distinctive features, he can be diagnosed with cardioneurosis. For example, pain during angina associated with physical exertion or excessive emotional stress. Real heart pains prevent the patient from describing them verbatim, as this increases the pain, the patient on the contrary tends to rest. Pain in cardiac neurosis with physical effort is in no way connected, but a clear correlation with changes in the emotional background can be noted. Minor mood changes cause cardialgia. A patient with loud and visible pleasure talks about them, thereby attracting additional attention.
Heart pains during neurosis sometimes appear paroxysmal and accompany panic attack.
So, pain with cardioneuroses are as follows:
- stabbing, blunt, compressing behind the sternum;
- may irradiate to the neck, scapula, upper limb;
- they may be accompanied by shortness of breath, reaching to suffocation;
- often cardialgia is accompanied by fear of death, anxiety and panic attack.