RT Journal
T1 CArdiac neurosis
JF Journal of the American Medical Association
JO Journal of the American Medical Association
YR 1939
FD October 28
VO 113
IS 18
SP 1644
OP 1645
DO 10.1001/jama.1939.02800430036012
UL http://dx.doi.org/10.1001/jama.1939.02800430036012
AB Cardiac neurosis is especially baffling in the patient in whom it is associated with organic heart disease. In a recent study of this problem, Schnur1 has suggested a procedure which may prove to be valuable in the differentiation of the symptoms and signs of the neurosis from those of the organic disease. The chief precipitating cause of cardiac neurosis in a person suffering from heart disease, he points out, is professional exaggeration of the severity of the process. Pain is more frequently a presenting symptom in cardiac neurosis than in organic heart disease, except in coronary thrombosis. Among other symptoms more common in neurosis are weakness, sighing respiration, insomnia, ringing or pounding in the ears, and faintness, dizziness, nervousness, irritability and flushes. Deep tenderness in the inframammary area in his group of patients was elicited in only 5 per cent of patients having organic heart disease, as contrasted with