Cardiac Neurosis

Neurosis is an overview of a special type, clinical cardiovascular dysfunction as the main performance, both can be other symptoms of neurosis. Medical often no special medical examination found. Formed state of anxiety or tension expressions, blood pressure normal or mildly elevated. Cardiac auscultation may have faster heart rate, heart sounds enhanced, can be accompanied by heart before the District I-II soft systolic murmur. Occasionally extra there. Auxiliary ECG speaking sinus tachycardia, some patients to ST-segment depression or sexual level downward, T-wave low, duplex or inverted, the more II, III, or aVF V4-6 lead, and have frequent changes, Propranolol test positive. Some patients test positive campaign, but "propranolol exercise test," ST segment and T wave back to normal. Cardiac ultrasonography may be excluded from the heart, blood vessels and valve abnormalities. Clinical performance was mostly young women, there cardiovascular system symptoms varied, when light weight when it is not more serious. generally no evidence of organic heart disease, but with the presence of organic heart disease or at the same time on the basis of the latter occurred. History should be asked in detail about whether anxiety, emotional, mental trauma or excessive exertion, and other incentives, whether it has been diagnosed as "a heart attack," flustered, shortness of breath or heart area before feeling discomfort and activities, feelings of fatigue and the correlation between Sleep status. Always at the heart of inspection results, medication history and efficacy contribute to the diagnosis. Treatment of the first doctors and patients need to have a proper understanding of cardiac neurosis is a functional disorder. the establishment of mutual trust between the patient and detailed analysis of the incidence of common factors, including, if necessary, ECG, echocardiography, Propranolol test and other tests, patients carefully to the explanation of the disease, to enable patients to lift unnecessary worry. Generally not bed rest, life should be a pattern, remove the unhealthy living habits, proper participation in physical activity. Alleviate the symptoms of drugs, including small doses of sedatives such as stability, and stability and taking over the morning sun ease the symptoms. Beta receptor blockers on heart rate faster effective, but also can be applied to propranolol 10 mg 3 items of article number-4 times / d, metoprolol or 12.5 ~ 25 mg 2 times / d, Effective maintenance treatment after 2 -3 months and then gradually stop, otherwise easy symptoms occur. Differential diagnosis of cardiac neurosis in the diagnosis of organic heart disease excluded on the basis of make, at the time of diagnosis should carefully. Should be excluded from endocrine diseases, such as hyperthyroidism, pheochromocytoma and organic heart disease such as coronary heart disease, cardiomyopathy or other viral myocarditis. Patients with coronary artery disease often associated with chest discomfort or physical activities, propranolol test negative and positive exercise test; cardiomyopathy patients with cardiac ultrasound was found; viral myocarditis in patients with a sense of history there, Acute enzyme increased for identification.