Cardioneurosis cardiac neurosis symptoms causes treatment

An attack always starts suddenly, and first aid will be as follows:

  1. You should try to reassure the person, talk to him in a calm tone with a confident voice.
  2. Try to switch the patient’s attention, eliminate the factors that provoked this reaction.
  3. If possible, go out together or open windows to ventilate the room, ensuring an influx of fresh air.
  4. Help to leave the crowded place, provide peace and solitude.
  5. Measure your blood pressure, track your heart rate.
  6. Offer to take one of the sedative medicines (Novo-Passit, Persen, tincture of motherwort, hawthorn or valerian, Valocordin, Corvalol and others).
  7. In the presence of a headache, you can give the patient any pain medication (Nurofen, Ibuprofen, Spazmalgon, etc.).
  8. Do not perform any warming, rubbing procedures.
  9. If after all the measures taken, the condition does not improve, and the symptoms of the attack intensify, then an ambulance should be called. In especially serious cases, hospitalization may be required.

After getting rid of the attack and improving the well-being of the patient, the administration of sedatives should continue for another 1-2 days.

Traditional medicine helps to cope with the symptoms of neurocircular dystonia. The advantage of such therapy is that it has virtually no negative effects. Such therapy is aimed at the general strengthening and elimination of excessive arousal. The only possible negative factor for such treatment is the individual intolerance of any component. Therefore, before using herbal remedies, it is still recommended to consult with a specialist.

  1. Infusion of motherwort. It will take 4 tablespoons of dry grass pour one cup of hot, boiled water, place in a glass or metal container (not aluminum) and put in a water bath. Strain for 20 minutes, strain, consume 100 grams twice a day before meals.
  2. Valerian. This plant has always been used to treat diseases of the nervous system. It helps a lot with tachycardia, strong excitement. To eliminate heart neurosis, you will need 100 grams of crushed roots pour two glasses of water and boil for about half an hour. Allow to cool and strain. Consume once a day for a hundred grams.
  3. Honey. This sweet product is very useful for general strengthening. The main thing is that it cannot be subjected to any heat treatment. It is recommended to use the drug two tablespoons a day. For a good and good rest before going to bed, it is recommended to drink a glass of milk with honey dissolved in it.
  4. Hawthorn. One hundred grams of dried flowers, the plants are poured with a glass of water, languished in a water bath for 15-20 minutes. Leave to cool completely, filter. Drink in the morning before eating.
  5. Treatment fee. It will take a yarrow, St. John’s wort and arnica in the proportions of 4: 3: 1. This should all be mixed well. Next, take one spoon of such a mixture, pour a glass of hot water and insist for two hours, filter, drink throughout the day.
  6. Soothing composition. It is necessary to take 100 grams of dry grass of peppermint and three-leafed shift, add 50 grams of hop cones and valerian root. All this must be filled with half a liter of boiling water, cover and leave overnight, and strain in the morning. Drink one hundred grams before meals.

No less effective in the treatment of cardioneurosis baths based on herbs. Such treatments have a relaxing and calming effect. So, you can pour a hundred grams of rosehip roots with water and boil over low heat for about an hour. After this, the liquid must be poured into the bath. In the same way you can use mint, angelica, lemon balm, juniper branches. It is recommended to take such baths before bedtime.

An attack of neurocircular dystonia, as a rule, happens unexpectedly. For example, during a scandal or after a person has received some unpleasant information, he may suddenly feel chest pain, lack of air, he becomes ill.

  1. Exit the premises to the street or open a window.
  2. If there is no way to be in the fresh air, you need to lie on a sofa or bed.
  3. Drink valocordin or a few drops of valerian infusion.
  4. Do not fuss, panic.

If the patient cannot take care of himself, his relatives should help him. Very often a person is not able to approach the sofa himself or he does not have sedatives. In any case, such attacks cannot be ignored. And if this happened, you should immediately consult a doctor.

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Prognosis of the disease

In general, the prognosis of cardeoneurosis is favorable. But the effectiveness of treatment depends on the person himself. Very often, patients after eliminating pronounced symptoms, discontinue therapeutic measures. Or, waiting for immediate healing, they are disappointed and also finish the treatment. But it is worth remembering that the elimination of neurocircular dystonia is a long process. You can quickly remove only such manifestations as pain or arrhythmia.

Otherwise, in case of non-compliance with the recommendations of the attending physician, refusal of therapy, the development of hypertension, heart attack, stroke is possible.

You should avoid conflict and stressful situations, regularly engage in physical work, do not underestimate your self-esteem. In addition, it is necessary that the daily meal should include vitamin B and magnesium. Such trace elements are found in meat and bakery products, legumes, potatoes, nuts, seeds and so on.

It is also necessary to include daily exercise, evening walks in the fresh air in the daily routine. It is necessary to go to bed and rise at the same time every day. Sleep must last at least eight hours. People who are prone to neurosis need periodic rest in sanatoriums or resorts.

Someone may say that since a neurosis can develop over many years, there is no urgency in terms of its treatment. In fact, the disease negatively affects the functional capabilities of the immune system, affects the physical activity of a person, and worsens his appetite. Along the way, depression, hysterical state, interfering with normal life. That is why it is so important to find the answer to the question in time, how to treat heart neurosis?

Two specialists become the main assistants of a person in this matter: a neuropathologist and a psychotherapist. What medical methods of treatment are considered the most effective?

  1. First, regular sessions are prescribed with a psychotherapist, during which the specialist will have to find the seed of the problem and fix it.
  2. The neuropathologist prescribes a number of sedatives to the patient, mainly on herbs, for example, Persen and Novopassit.
  3. If sedatives alone are not enough, beta-blockers and tranquilizers are prescribed.
  4. Physiotherapy exercises are widely used. Swimming is considered extremely useful.
  5. Psychotherapists practice the use of breathing exercises (according to Strelnikova’s technique, for example), and are advised to do yoga.
  6. With insomnia and the risk of developing angina attacks, “Valocordin” and “Corvalol” are prescribed.

Along the way, the doctor prescribes a rational diet, talks about the importance of maintaining an active lifestyle and giving up bad habits.

Heart neurosis itself is usually not life-threatening, and therefore hospitalization is necessary only in the most extreme cases when a person is on the verge of a nervous breakdown. In addition to taking sedatives and talking with a therapist, a person must learn to relax, alternate minutes of work and rest. It is recommended to carefully think through your schedule, daily finding time for either breathing exercises or physiotherapy exercises.

Typically, a set of measures gives results after 5-7 days, which results in an improvement in the well-being of the patient. To consolidate the result, it is recommended to use alternative methods that have long proven their effectiveness.

This disease is considered extremely common. Is the use of herbal medicine rational for heart neurosis? Symptoms and treatment with folk remedies of this disease are the main dilemmas that concern a person with such a diagnosis. What folk methods are recommended for neurosis?

  1. 2 tablespoons of dry and chopped valerian roots must be poured into 500 ml. boiling water. Next, the solution boils for 10 minutes and infuses another 20. Take it in the morning and in the evening 100 ml.
  2. 10-20 drops of peony tincture should be drunk three times a day, preferably 10 minutes before a meal.
  3. With a strong heartbeat, it is necessary to mix valerian root, calamus leaves, hop cones and oregano in equal proportions. All this is poured with boiling water for 10 minutes, and the filtered broth is drunk in a tablespoon 2 times a day.
  4. During an exacerbation with extremely strong mental stress, it is recommended to drink a glass of milk with a garlic clove rubbed into it.
  5. From a neurosis, honey diluted in ordinary water helps well. 50 grams of honey is mixed with half a liter of water, after which the mixture is partially drunk (it must be divided into 4 doses).

Folk remedies are elementary in cooking, but they are extremely effective. In the evenings, you can drink tea with chamomile or rosemary, as these herbs have a calming effect on the nervous system. It is necessary to apply alternative methods carefully so as not to encounter the manifestation of an allergic reaction. Neuropathologists argue that traditional methods of treatment are effective, but they need to be used only as an adjunct solution for basic therapy. During pregnancy, such herbal preparations become a salvation for a woman, because in an interesting position, many medicines simply can not be taken.

Neurosis is a common and serious problem, as it affects the emotional background, and even the functioning of the immune system. The treatment here should be competent, while it is important to remember the advice of a neurologist and the recommendations of a psychotherapist. And, of course, it is important to learn how to let go of problems without focusing on them.

Causes of the pathological condition

Various reasons can lead to the development of cardioneurosis, provoking too complex and strong irritation of the cortical structures of the brain.

Despite the autonomy of the heart, the nervous system perceives and has a direct impact on its activity. This happens through the signals of the brain, as well as vegetative centers.

Failures in this regulation provoke disturbances in the functioning of the organ, which leads to its incorrect functionality, which gives sensations of pain, interruptions in the rhythm and other pathological signs.

The reasons that can give impetus to violations may be as follows:

  • nervous breakdowns and other psycho-emotional shocks;
  • unstable psyche, features of a person’s psychotype, congenital psychoemotional lability;
  • endocrine diseases and pathological conditions that are associated with hormonal imbalance – menopause, puberty;
  • excessive stress of the nervous system – increased mental work, study;
  • too active or inadequate physical activity;
  • bad habits;
  • chronic pathologies that weaken the entire body as a whole, and in particular the nervous system;
  • traumatic brain injury;
  • vegetovascular dystonia;
  • heredity.

These factors trigger processes that destroy the natural relationship between the heart muscle and the centers of the brain.

Since cardioneurosis is a psychosomatic disease, the factors that cause it are divided into physical and psychogenic, and sometimes have a mixed character:

  • injuries (physical, mental);
  • stress associated with work or study (exams, irregular hours, etc.),
  • violation of sleep and rest, lack of sleep;
  • unbalanced diet, junk food;
  • sexual dissatisfaction;
  • the effects of toxic substances (alcohol, drugs, smoking);
  • Conflicts
  • stresses and psychophysical problems caused by them;
  • hormonal imbalance.

Cold and infectious diseases, pathological disorders in the cardiovascular system: pericarditis, myocarditis, endocarditis, malformations, consequences of rheumatic fever can become the causes of cardioneurosis.

Home Neurology Neurosis Heart neurosis: symptoms and treatment, causes

The psyche of people is not always able to qualitatively neutralize the effects of stress, and the anxiety state becomes pathological – a neurosis develops. And since people are more inclined to pay attention to reactions from the side of the heart (palpitations), this condition is called “cardiac neurosis” or “cardioneurosis,” with emphasis on the neurotic nature of the pathology.

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It is human nature to experience physiological fear in certain circumstances. Emotional overexcitation is accompanied by manifestations from the autonomic nervous system – the heart pounds wildly, the pulse quickens, the face and body become covered with cold sweat, the pressure rises or falls. This is a normal reaction of the body to a stressful situation, which disappears when a person calms down.

A characteristic feature of cardioneurosis is the absence of organic damage to the heart and functional disorders. There is no justification on the ECG for those experiences that force patients with cardiac neurosis to consult doctors – specialists in the treatment of heart diseases. This raises a number of problems, since the neurotic suffers suffering and worries about the health of his heart, and cardiologists claim that there are no medical indications for treatment. This situation further enhances neurosis (anxiety), which provokes an increase in pressure “on the nervous system” and the occurrence of a strong heartbeat.

Heart neurosis – the symptoms and treatment of this pathology directly depend on whether a person is ready to deal with this problem and adequately respond to the help of specialists.

Patients with heart neurosis describe the attack as:

  • a feeling of compression, squeezing, bursting in the region of the heart;
  • lump in the throat;
  • burning in the chest area;
  • feeling of a sinking heart.

Characteristics of cardialgia (heart pain) in cardioneurosis:

  • pain aching, throbbing, oppressive;
  • radiates to the left scapula, the neck and spine.

Distinctive feature: patients with heart neurosis tend to depict pain in different ways, depending on their psycho-emotional state. Unchanging is anxiety, concern about the next attack – that is, neurotic manifestations of this pathology.

Neurosis of the heart manifests itself in anxiety and fear.

  • excessive irritability, tension;
  • pathological tachycardia (increased heart rate, not due to physical activity or natural physiological fear);
  • trembling in limbs;
  • panic thoughts;
  • dizziness;
  • hard breath;
  • headache;
  • increased sweating;
  • stiffness in movements, muscle cramps.

Neurotic anxiety in cardiac neurosis is different from the normal state of anxiety – a useful adaptation mechanism and protective behavior.

During an attack of cardiac neurosis:

  • shortness of breath appears, choking;
  • there is pain and discomfort in the heart;
  • the fear of sudden cardiac arrest intensifies.

Duration of an attack – dipped up to half an hour. The patient may be in a fainting state. The feeling of anxiety persists for an hour or more. In severe cases, seizures occur daily.

Cardiac neurosis should be distinguished from cardiac pathologies. With cardioneurosis, psychogenic cardialgia is observed, in which:

  • patients tend to describe their symptoms very emotionally, fussy, actively gesticulate and move;
  • there is no clear definition of pain;
  • characterized by panic, somewhat inappropriate behavior;
  • promiscuity in taking medications, a desire to drink many different medicines;
  • taking Nitroglycerin does not affect the attack.

During an attack of true cardialgia (with angina pectoris and myocardial infarction):

  • patients try to lie down or sit down, move less, because movements intensify pain;
  • the description of pain is clear and restrained;
  • Nitroglycerin reduces pain.

The behavior of patients with cardiac neurosis is significantly different from the behavior of people with heart disease.

At the heart of cardiac neurosis is a mechanism that triggers panic attacks. The panic here is due to the fear of death from a heart attack. Moreover, the patient may not know how myocardial infarction manifests itself. Any heart pain, even minor, is associated with this severe cardiac pathology in a patient. In this case, the normal physiological increase in heart rate during excitement or physical exertion is perceived as a threat to life, provokes the appearance of pathological fear from sudden cardiac arrest.

Fear significantly changes the hormonal background, contributes to a powerful release of adrenaline, which in turn provokes an even greater heartbeat. A cycle of fear and palpitations occurs: uncontrolled pathological fear triggers a strong heartbeat, which in turn causes panic fear. The more the patient is afraid for his heart, the more it begins to beat.

The problem also lies in the fact that one transferred attack of cardioneurosis is enough for fear and fear of a new attack to take hold in the patient’s mind. This panic fear is the trigger of the attack.

  • excessive mental and physical stress;
  • regular disturbance of the physiological regimen of sleep and wakefulness;
  • improper diet;
  • chronic diseases;
  • intoxication of the body after a serious infectious disease or poisoning;
  • chronic stress;
  • hormonal disorders;
  • pregnancy.

Cardiac neurosis is a psychosomatic disorder — a pathology in which attention should be paid to the patient’s mental state.

  • ECG;
  • Holter monitoring (daily and more ECG recordings);
  • bicycle ergometry;
  • Ultrasound of the heart.

The diagnosis of “cardiac neurosis” is made in the absence of organic changes and functional disorders in the region of the heart, based on characteristic, recurring symptoms.

Effective treatment requires an integrated approach, a great return from the doctor and / or clinical psychologist, as well as the conscious participation of the patient.

Cope with cardiophobia better psychotherapeutic methods. If necessary, medications (tranquilizers, sleeping pills, antidepressants, drugs that normalize blood pressure) are used in the treatment of heart neurosis.

You can quickly remove emotional stress by taking 5-10 tablets of Glycine (under the tongue, until completely resorbed). If it was not possible to neutralize stress in time, then you should drink Valocordin (15-30 drops). To maintain emotional balance – take the extract in tablets and tincture of motherwort (suitable for long-term therapy). Medication is recommended to be taken under medical supervision, especially for prescription drugs.

If an attack occurs, it is recommended:

  • provide the patient with access to fresh air;
  • measure blood pressure;
  • give the patient Valocordin, tincture of Motherwort, Novo-Passit, Glycine (under the tongue).

If possible, try to distract the patient, turn his attention from the heart.

Psychotherapy

It is possible to completely cure heart neurosis if you understand the causes of anxiety and neurotic fear. But this is the main problem – it is difficult for a neurotic to adequately assess his condition, that is, to accept the fact that it is necessary to treat not a heart, but a neurosis. The treatment of cardioneurosis requires the help of psychotherapists and clinical psychologists.

At the initial stage of psychotherapy, it is difficult for the patient to switch attention from the heart. An attack of cardiac neurosis occurs suddenly, and this suddenness practically paralyzes the patient’s psyche, making him incapable of consciously controlling his thoughts and actions. Attention switching should be practiced in a calm state and only after the patient has realized the importance of this method and its key role in curing heart neurosis.

Manifestations of cardiac neurosis

Symptoms of heart neurosis can be somatic and psychological in nature.

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Painful heart symptoms are:

  • tingling and aching;
  • “Squeezing” the heart;
  • in the form of heaviness and palpitations.

Attention! The pains come in different intensities, often encompass organs and muscles located near the heart, which can disrupt the breathing rhythm. They last several minutes or last several months.

Cardioneurosis, or cardiac neurosis, is characterized by a variety of symptoms. In particular, cardialgia along with a panic attack are the most striking and common manifestations of this disease. They can often be an independent pathology, expressed in psychasthenia, neurasthenia, hysteria and obsessive states, which, however, very often refer to the usual character traits. Moreover, such patients are completely different from each other. For example:

  • People who are prone to hysteria are self-centered, mannered and loud.
  • Psychasthenics, on the contrary, are very quiet and shy, they constantly feel self-doubt, and in this connection they can not even solve elementary life tasks.
  • Most complaints are presented to doctors by neurasthenics. Everything always hurts them, and their sleep is disturbed, their nerves are shaken, and their appetite is absent. In addition, they are constantly haunted by all kinds of autonomic disorders in the form of tachycardia, sweating, decreased ability to work, and the like. They are easily excitable, in this regard, are often at the center of conflict situations. Next, find out how long the heart neurosis lasts.

Diagnosis of the disease

Symptoms of cardioneurosis intersect with signs of diseases of other internal organs. Only with the help of differential diagnosis can angina, myocarditis, functional malfunctions of the thyroid gland, osteochondrosis, and other serious diseases be excluded. To get an accurate diagnosis, a cardiologist will prescribe studies:

  • heart electrocardiographic method (ECG);
  • cervical and thoracic spine radiographs;
  • thyroid gland using ultrasound;
  • blood sugar and hormones.

In addition, daily Holter monitoring with blood pressure monitoring may be needed.

It is very important to examine the patient, conduct a survey on the causes and symptoms of seizures, the duration of the disease. Cardiac neurosis is diagnosed with the following criteria:

  1. Repetition of symptoms continuously or for three months.
  2. Direct association of symptoms with hormonal imbalance or stress.
  3. Signs of disorders of the autonomic nervous system: low blood pressure, sweating of the extremities, chilliness, tachycardia, marbling of the skin.

After the diagnosis is made, counseling on how to treat cardiac neurosis in a patient must be carried out simultaneously by a cardiologist, general practitioner and neuropsychiatrist for the success of treatment. The combined efforts of doctors will help develop an optimal treatment path.

Diagnosis of pathology begins with the exclusion of valid heart diseases. To do this, you need to make a cardiogram and consult a cardiologist. If real and serious pathologies of the heart are excluded, a diagnosis of cardioneurosis is established, after which the patient is sent for a consultation with a psychotherapist and a neurologist.

It is important to understand that during the study some abnormalities may be found that will make diagnosis difficult – in some cases, other diseases are diagnosed along with cardiac neurosis.

In this regard, a doctor who is engaged in diagnostics must be highly qualified, and identify not only somatic pathologies, but also psychological ones. Most often, with cardiac neurosis, hypertension, neurocirculatory dystonia, tachycardia, arrhythmia and others are diagnosed.

It is also important to identify cardioneurosis, which has developed against a background of autonomic and hormonal disorders. In this case, the patient experiences symptoms similar to angina pectoris, and, moreover, drugs that are prescribed for the relief of angina attack remain ineffective.

The diagnosis is confirmed by:

  • lack of changes in the cardiovascular system;
  • the presence of a connection between the signs of the disease and stress, psychological trauma, and so on;
  • positive dynamics after taking sedatives;
  • the effectiveness of psychotherapeutic treatment.

Find out what else there are neurological manifestations of diseases of internal organs in the articles on the psihiatr.me website: gloki neurosis, respiratory neurosis, stomach neurosis.

Cardiac neurosis is diagnosed by an exception method. This is due to the fact that the symptoms of the disease are largely similar to the signs of other pathologies. To confirm the disease, an ECG, ultrasound, Holter monitoring, study of changes in blood pressure over the course of a day, a treadmill test or velergometry, a blood test for hormones and sugar can be prescribed.

Such studies make it possible to exclude organic damage to the organ. Of great importance in stating cardioneurosis is the collection of anamnesis. A patient survey allows us to determine the presence of traumatic situations, a hereditary predisposition, sensitivity of the nervous system, and so on.

Based on the specifics of the disease, the treatment of cardioneurosis is carried out by a psychiatrist. Although patients suffering from neurocircular dystonia often refuse even to consult this specialist. They continue to visit the therapist or cardiologist, insisting on the help of these particular doctors. Your doctor may prescribe sedatives or antispasmodics. But such treatment is ineffective. Only complex therapy, including psychotherapy and pharmacology, can save a person from pathology.

The main treatment is psychological help. The specialist conducts consultation, disposing the patient to confidential communication. Clarifies the situation in the family, at work, in the school. Establishes factors causing unpleasant symptoms. Pharmacological treatment is prescribed depending on the form of the disease and the degree of its progression.

  1. Antidepressants. They help to improve mood, increase efficiency, reduce anxiety.
  2. Tranquilizers. These pharmacological drugs provide an opportunity to normalize sleep, to cope with anxiety, obsessive thoughts.
  3. Beta blockers. Assigned to normalize heart rate.
  4. Antipsychotics. They have anti-anxiety properties, help to cope with fear, reduce excitability.

A very important point in the treatment of cardioneurosis is the work on self-awareness. Since the development of this ailment is connected, first of all, with the fact that a person does not know how to properly respond to unpleasant situations, it is very important to learn how to relate to various negative factors. Do not take problems to heart, you just need to live and let them go, correctly prioritize your life. And in this case, the help of a psychotherapist is just what is needed, a patient alone cannot cope with this.

In addition, treatment includes lifestyle changes. A person must learn to eat right, give up alcohol-containing drinks and coffee, and significantly reduce the amount of sugar consumed. It is also recommended to monitor your health, heal diseases on time, get enough sleep, spend more time outdoors, play sports. In addition, massage, acupuncture or other physiotherapeutic procedures may be prescribed by a specialist.

Only with the help of differential diagnosis can angina, myocarditis, heart attack, malfunctions of the thyroid gland, osteochondrosis, and other serious diseases be excluded. To confirm the diagnosis after the initial examination, the patient must undergo a series of examinations.

The complex of procedures usually includes:

  1. Cardiogram (ECG).
  2. Holter blood pressure monitoring.
  3. Functional tests with cardiac load (treadmill or bicycle ergometry).
  4. Ultrasound examination of the heart.
  5. Blood and urine tests (to exclude myocardial ischemia, its necrosis and other associated pathological processes).
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In the absence of confirmed data on the pathology of the heart and the presence of complaints from the patient, a diagnosis of cardioneurosis is made.

The criteria for diagnosis are: repeated attacks of unexplained anxiety and fear over several months, periodic manifestation of symptoms of vegetative-vascular dystonia (VVD). These include: sweating, marbled skin color, chilliness, low blood pressure.

The presence of a connection between an increase in the symptoms of the disease and hormonal imbalance (during puberty, during pregnancy, or during menopause) is also a sign confirming the diagnosis of cardioneurosis.

Diagnosis of heart neurosis should begin with basic laboratory tests and an ECG. Sometimes electrolyte deficiency, which can be detected by a morphological blood test, may also be responsible for symptoms such as an uneven heartbeat or muscle tremor. In turn, the ECG is the most important tool for detecting a possible cardiological disease.

If the studies do not reveal violations, you should contact a psychiatrist who, ultimately, will determine which psychosomatic disease is responsible for the neurosis.

Cardioneurosis refers to behavioral and mental disorders, and not to diseases of the heart and blood vessels. In accordance with this, this diagnosis is made not by a therapist, but by a psychiatrist or neuropsychiatrist. However, since the CIS has not formed the correct attitude of the population towards psychiatry, including the small one engaged in the treatment of neurosis, the diagnosis and treatment of patients with cardioneurosis is carried out mainly by therapists, cardiologists and neuropathologists of the outpatient unit.

Pain in the heart always deserves the closest medical attention. A quick differentiation is needed between the true cardialgia that occurs during an angina attack, myocardial infarction and chest pain caused by neuropsychiatric disorders. With true cardialgia, patients try to limit their movements as much as possible, since any physical exertion provokes increased pain and shortness of breath. They always clearly describe their feelings, without the use of epithets and hyperbolas.

Cardiac neurosis can be suggested by identifying the following symptoms:

  • pains in the region of the heart that periodically appear or persist for more than three months;
  • the presence of a clear link between the onset or worsening of symptoms of cardioneurosis with hormonal imbalance (puberty, pregnancy, menopause, thyrotoxicosis);
  • labile blood pressure;
  • periodically occurring attacks of extrasystole and / or tachycardia;
  • dysfunction of the autonomic nervous system (white steady dermographism, cold extremities, general coldness, marble tint of the skin, hyperhidrosis of the palms and feet);
  • long-lasting bad or depressed mood.

To exclude organic heart diseases, a comprehensive examination is carried out, including:

  • ECG (with cardioneurosis there are no signs of myocardial ischemia, such as changes in the ventricular complex and T wave, decrease in the ST interval);
  • ECHO-KG;
  • monitoring of blood pressure and Holter ECG;
  • cardio loading functional tests (bicycle ergometry, treadmill);
  • general blood test (with myocardial infarction, an increase in the activity of certain enzymes occurs, which is not observed with cardioneurosis).

Diagnosis of the disease

All preventive measures against heart neurosis are to reduce stress levels. This issue can be approached psychologically, medically, or with dietary nutrition. It is useful from time to time to take herbal preparations that have a sedative effect – motherwort, valerian and so on.

It is recommended to do yoga, receive a relaxing massage course. As for the diet, you must adhere to the principles of proper nutrition, and exclude saturated fatty acids from the diet. It is necessary to diversify the diet with vitamins. Green tea is not only a natural antioxidant, but also a drink with a sedative effect. With insomnia, you can eat a spoonful of honey at night.

  • get rid of bad habits;
  • provide the body with feasible, but not overloading the heart muscle, loads;
  • Healthy food;
  • avoid stress;
  • observe the daily routine;
  • Do yoga and other relaxing practices.

Cardioneurosis is not a dangerous pathology, but it can cause the development of serious ailments. Therefore, it must be treated without fail, and this must be done only after a thorough and professional diagnosis.

The clinical picture of the disease is very similar to the signs of various dangerous cardiological ailments, therefore it is dangerous to diagnose and treat heart neurosis.

It is impossible to predict how the treatment of heart neurosis ends, since it depends on a large number of factors. In 80% of cases in people under 40 who suffer from rare bouts of pathology, a full recovery occurs.

If the patient has an unstable psyche, has a history of psychotrauma, as well as with frequent and clinically severe attacks, the disease recedes only in 30%. About 5% of patients cannot achieve the effect of therapy, and in this case, the disease transforms into more severe disorders.

Signs of cardiac neurosis are most characteristic of psychastenics, since they are dubious by nature. Moreover, very often they are tormented by a sense of their own inferiority. They are often visited by unreasonable fears along with obsessive thoughts. Such people often experience various functional disorders of various organs. In this case, the heart, of course, comes to the fore, then the head suffers, and then the digestive system.

Heart neurosis is perhaps the most common problem of such people. In the event that the patient is mainly focused on his heart, and other symptoms go to the background, they speak of cardiac neurosis. Such manifestations are also characteristic of patients with neurasthenia.

It will be useful to learn how to distinguish neurosis from heart disease.

The clinic of this disorder consists of general and cardiac manifestations. Signs of a general heart neurosis indicate problems with the nervous system. These include:

  • chronic fatigue ;
  • fatigue;
  • distraction;
  • constant feeling of anxiety;
  • irritability;
  • sleep disturbance;
  • tearfulness.

Symptoms of Heart Neurosis

Sometimes the symptoms of this disorder are manifested by the appearance of panic attacks, in which a person has difficulty breathing – he feels a lack of air, tries to inhale frantically, feels a strong fright. Also another symptom with this pathology is an increase in body temperature to subfebrile indicators, which holds on to such numbers for a long period.

If we talk about heart symptoms of heart neurosis, the main one is pain, which can be localized either in the region of the organ or behind the sternum, and radiate to the back, shoulder blade, and even the neck. The pain can be of a different nature – dull, stitching, paroxysmal and its duration can also be different – from several minutes to several days.

It is important to remember that the appearance of pain with such a violation is central and is not associated with morphological abnormalities in the heart. Doctors suggest that sometimes such pain occurs as a result of self-hypnosis – a person thinks that severe stress can cause him heart problems, and after some time he feels real pain in the heart region.

Other cardiac and vascular symptoms of heart neurosis are as follows:

  • increased heartbeat that the patient feels, and this causes him panic;
  • increased heart rate;
  • sensation of “rush” of blood to the head;
  • feeling hot;
  • blanching or redness of the skin;
  • cooling of limbs.

A disease such as heart neurosis is diagnosed after questioning and examining a patient by a doctor and assigning him a cardiographic study. If anatomical and morphological abnormalities are not detected on the cardiogram, then the patient’s cause of pain in the heart region is neurological.

A neuropathologist is aware of how to treat heart neurosis, therefore it is the patient who should be contacted with this diagnosis, because the cardiologist can not prescribe anything to the patient, since there are no disorders in the heart during the disease.

At the initial stage, treatment consists in explaining to the patient his condition by the doctor. The doctor must say that the symptoms of cardioneurosis do not pose a real threat to the patient’s health, and that the main task of a person with such a violation is to avoid stressful situations.

In addition, patients are shown physiotherapeutic treatment. A prerequisite for recovery is physical therapy or just light sports, a relaxing massage. A restorative treatment makes it possible to restore the balance of the nervous system and relieve a person of the symptoms of such a violation as cardiac neurosis.

Such patients also require treatment of the nervous system. In particular, they regularly need sanatorium-resort rehabilitation, which will prevent the development of new relapses and make their nervous system more resistant to external stimuli. In severe cases, patients require medication – the use of drugs that calm the nervous system. Usually, taking valerian is enough, but sometimes the doctor prescribes stronger neurotropic drugs – luminal, nembutal and others.

If you think that you have a cardiac neurosis and symptoms characteristic of this disease, then a neurologist can help you.

We also suggest using our online disease diagnosis service. which, based on the symptoms introduced, selects probable diseases.

Symptoms and treatments for heart neurosis

The treatment of cardioneurosis should not be put in the “long box” and at the first manifestations of the disease it is necessary to consult a doctor, since the consequences can be quite serious.

Against the background of the disease, there is a risk of developing true pathology of the heart and blood vessels (hypertension, coronary heart disease).

Therapy of cardiac neurosis includes the following methods:

  1. Drug treatment.
  2. Treatment of folk remedies.
  3. Psychotherapy.
  4. Non-drug therapies.
  5. Compliance with the rules of prevention.

Methods will be determined depending on the complexity of the pathology, the causes and well-being of the patient. The combination of non-drug treatment methods and psychotherapy is most effective.

The disease is so complex that it affects the professional field not only of one narrow specialist – a cardiologist, but requires participation in the treatment of a psychiatrist, psychotherapist and psychologist. Each of the listed specialists should draw up their own therapy regimen, which together will help the patient cope with this ailment.

Psychologist’s help

Cardioneurosis often occurs due to the fact that a person does not know how to relax and release negative emotions. The task of a psychologist or psychotherapist is to teach the patient relaxation methods and the right behavioral responses to stress factors.

Common psychotherapeutic methods in working with heart neurosis include:

  1. Autotraining (auto-suggestion) reduces the number of seizures and helps prevent them at an early stage.
  2. Cognitive-behavioral therapy is aimed at understanding the triggers of an attack and managing their behavioral responses.
  3. Rational psychotherapy is aimed at a logical explanation to the patient of the physiological mechanisms of autonomic reactions in order to reduce feelings of anxiety and fear of a new attack of the disease.
  4. Family psychotherapy is used for therapy in adults and children in whom the cause of neurosis originates from domestic conflicts and intense relationships with close relatives.
  5. Hypnosis allows you to penetrate into the deep layers of the subconscious to search for the hidden psychological causes of the disease. The hypnotherapist conducts a suggestion – a verbal installation that motivates a person to completely get rid of psychological disorders.

Having mastered the methods of psychosuggestive therapy, a person will be able to quickly and effectively resolve all mental and psychological problems.

To combat the disease, the patient should review his lifestyle and follow these recommendations:

  1. The body should receive good rest in order to avoid mental and mental stress. During working hours, you should switch your attention and take a break every 2 hours for 5-10 minutes.
  2. It is necessary to comply with sleep and wakefulness. To do this, you need to fall asleep and wake up at the same time, giving sleep at least 7-8 hours a day.
  3. To improve the general condition, it is necessary to include walking in the fresh air in the daily daily routine.
  4. At least two days a week, you need to go in for sports (swimming, yoga, physiotherapy exercises, breathing practices).
  5. Complete rejection of bad habits (exclusion of smoking and drinking).
  6. Timely treatment of all diseases and health monitoring.

The role of proper nutrition in the course of cardiac neurosis therapy cannot be underestimated.

The daily diet should be balanced, while there should be no foods that can cause excitation of the cerebral cortex and impaired blood circulation.

Thus, patients primarily limit salt intake, exclude spices, smoked foods, chocolate, caffeinated drinks (tea, coffee, energy drinks).

It is recommended to remove from the menu products that increase gas production in the intestines: grapes, legumes, cabbage, carbonated drinks. The daily menu should have more fruits and vegetables instead of heavy fatty foods.

Products with a high cholesterol content are also banned: butter, sour cream, cheese, offal, fatty meat, chicken egg, cheese and others.

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Patients adhere to a dairy-vegetable diet, including in their daily diet:

  • skim cheese;
  • porridge;
  • vegetable juices;
  • bran bran bread;
  • fruit;
  • dried fruits;
  • bio-yogurt;
  • low-fat types of cheese.

The following groups of drugs are used for drug treatment of cardioneurosis:

    Ant >

Among the drugs that increase the threshold of nervous excitability, the majority of positive reviews from doctors come about such drugs as Afobazol, Enerion, B vitamins, Amizil.

Tinctures of hawthorn and valerian herbs have a good sedative effect. In modern therapy of cardioneurosis, nootropic drugs such as Phenibut, Fezam, Pantogam, which were previously used only to improve memory, began to be given importance.

Folk remedies

Traditional medicine is a real salvation in the treatment of heart neurosis, especially for pregnant women and children. Since medicines are prepared from natural ingredients, they have a minimal amount of side effects and contraindications.

Before starting treatment at home, you need to see a doctor and agree on the choice of active ingredients. Do not try to cure cardioneurosis yourself, this is dangerous because you can skip the beginning of the development of a true heart pathology.

Traditional recipes for herbal infusions for the treatment of cardioneurosis:

  1. Infusion of motherwort herb: pour one tablespoon of motherwort herb with a glass of boiled water, let it brew for half an hour. After adding 30 drops of alcohol tincture of May lily of the valley to it, take 5 ml 20 times a day.
  2. Take 70 grams of herbs of hawthorn, valerian, motherwort and mint, then mix thoroughly. Take 30 grams of the finished collection and pour 250 grams of boiled water, leave it under the lid for half an hour. Drink 50 grams 3 times a day for a week.
  3. A tablespoon of the herbal mixture from the infusion of hop cones, lemon balm leaves, valerian root, yarrow herb pour a glass of boiling water and let it brew for 30 minutes. Receive the infusion to drink during the day.

Herbal infusions have a mild sedative effect, normalize sleep, relieve excessive psychological stress.

It is important to remember that it is too much to get involved in folk remedies, or to exceed the dosage of ingredients in their recipes – not worth it, it can be dangerous.

With physical or mental stress, overload, a person may experience somatic and psychological symptoms of heart neurosis. Functionally nervous disorders in the work of the heart muscle are more often exposed to people with a weak psyche and temperament of the melancholic. In people, disorders in the central nervous system occur, and the tone of the nerve centers decreases due to constant anxiety for any reason, suspiciousness, emotional lability and suggestibility.

Even in childhood, people of this temperament are often emotionally dependent on loved ones. Therefore, an adult can feel lonely, react sharply to any conflict, stress or death of a loved one from a heart attack or vascular disease. They begin to fear death from malfunctions in cardiac activity; they constantly feel that not everything is in order with the heart.

Does the heart actually hurt, or does it just seem to hurt?

Pain in the heart in the presence of neurosis can be considered a natural phenomenon. Given that patients with neurosis have a pronounced emotionality, cardialgia in such patients can often be provoked by excitement, conflict, or simple expectation. Thus, everything is based on emotions, not only on negative impressions, but also on positive ones. For example, upon learning the good news, a person clutches his heart.

How are heart pains manifested in neurosis?

Gymnastics with heart neurosis

In addition to the above clinical manifestations, additional symptoms may occur:

  • One of the types of cardioneurosis is a vegetative neurosis, which is often present in the role of a symptom complex with pathological menopause, and in addition, with other hormonal disorders. In the presence of pathological menopause, autonomic neurosis is called autonomic dishormonal cardiodystrophy. Clinically, this disease can be manifested by cutting and pressing cardialgia. Sometimes pain can be given to the arm and shoulder blade, in addition to everything else, the rhythm can increase. Such pain does not depend on physical activity, and the state of rest as such does not bring relief. In addition, Nitroglycerin also has no effect.
  • Symptoms in the form of sweating, hot flashes, shortness of breath, dizziness, parasympathetic crisis, tachycardia or bradycardia, trembling, hyperemia or pallor of the skin indicate some specific vegetative problems.
  • With cardiac neurosis, manifestations in the form of high blood pressure, headaches and heartaches can also be observed.

Specialists have developed a special complex of physiotherapy exercises for this pathology.

  1. Lunges for 1-1,5 minutes, first with one foot, then the other.
  2. Torso deflection. The leg is bent back, the upper body also bends back. Then the same thing is done with the other leg. The exercise is repeated 5-8 times on each leg.
  3. Squatting on one leg, while holding on to a chair. Repeat 2-5 times with each foot.
  4. Rotational motion of the body, first one way, then the other. Repeat 3-6 times.
  5. Imitation of boxer punches. You need to breathe in random order. Make 8-15 strokes with each hand.

In some specialized clinics of a neuropsychiatric profile, there are special departments of neurosis, in which patients with different variations of this disease are treated. Often, patients in such departments are given the presence of panic attacks, which can often be combined with migraines or other pathologies that exhaust the patient.

Treatment of cardiac neurosis should be comprehensive. Drug treatment is carried out:

  • beta-blockers (treatment of arterial hypertension and tachycardia): Atenol, Metaprolol, Anaprilin, Trazikor;
  • mild antidepressant drugs: amitriptyline, grandaxin, azafen, imizin, nialamide, tranquilizers – diazepam, phenazipam;
  • sedatives: Valerian, Motherwort, antianginal drugs: Validol, vitamin therapy;
  • treatment of sleep disorders – with light sleeping pills, for example, Zopiclone for 3 weeks, but no more so as not to cause addiction.

Treatment with increased excitability is supplemented with physiotherapeutic procedures: electric, Darsonval comb apparatus, massage, coniferous and pearl baths. Treatment with Charcot’s douche or circular is carried out with hyposthenic symptoms.

It is useful for patients to perform exercise therapy, autogenic training and mental relaxation (respiratory gymnastics), therefore, in health groups they are taught this for therapeutic purposes and as a prophylaxis.

Attention! Psychotherapeutic treatment eliminates the factors that stimulate neurosis. Therefore, it is recommended to attend sessions of a psychotherapist. Hypnosis is sometimes used to determine the cause of fear and eliminate it. To eliminate neuro-somatic symptoms, patients are recommended treatment in balneological sanatoriums and resorts, which can exempt from taking medications.

At home, it is necessary to correctly draw up the daily routine, exercise therapy without exceeding the load, eating properly exclude alcohol and smoking, strong tea and coffee. Useful to take:

  • infusion: mix peppermint and motherwort five-bladed – 30 g each, valerian root and hop cones – 20 g each. Pour 10 g of the collection with boiling water (1 tbsp), warm in the bath for 15 minutes and let stand for cooling – 45 minutes. Separate the thick from the infusion, add boiling water to the original volume (200 ml) and bring to a boil again. Drink half a glass from anxiety, irritation, insomnia, menopause symptoms;
  • valerian baths: pour 100-2 tbsp. per 4 l of water with a comfortable temperature. l valerian extract;
  • rosemary baths: an extract of rosemary leaves (2 tbsp. l.) is poured into the bath from 100 l of water to 40 ° C.

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Hypochondria

With such a variety of clinical symptoms, which is sometimes present in one patient, prescribing to him something that can immediately solve any problems is not an easy task. Such patients often go to the doctors, presenting new complaints every time, but rarely bringing the matter to an end, since they always want everything at once, and they lack the patience for a full treatment. Therapy of cardiac neurosis requires not only the appointment of drugs of various categories, but also consultations with other specialists.

How to recognize the disease?

Treatment of cardiac neurosis is fraught with difficulties due to misconceptions of the patient himself about his disease. In most patients, the word psycho usually causes an inadequate response, and they completely refuse to visit a psychotherapist. In turn, the word neurosis is perceived by such patients as a severe mental disorder that must be hidden from outsiders.

In order to explain the meaning of this or that alarming term and persuade the patient to visit other specialists in order to begin the required treatment, the doctors have to be very patient. But the patients, who took into account all the medical recommendations, get better right before our eyes after a conversation with skilled and understanding specialists.

Symptoms and treatment of cardioneurosis are interconnected.

Prevention measures for relapse include careful attention to your own emotional reactions, avoiding stressful situations, maintaining a healthy lifestyle, and mastering relaxation and relaxation techniques.

Any activity of a creative nature is effective, for example, modeling, drawing, this allows you to escape from disturbing thoughts and removes emotional stress. Massage, aromatherapy and art therapy have a good preventive effect.

How is the treatment carried out?

It is rather difficult to name a specific group of medicines for the treatment of such a problem as cardioneurosis. Treatment primarily depends on the symptoms, it is very important to cope with anxiety, discomfort and psychological discomfort. As part of the treatment, the following actions are carried out:

  • The doctor conducts a calming, encouraging and encouraging conversation. The therapist is best able to patiently listen and give the patient the opportunity to speak out, because he is specially taught this.
  • The patient is given recommendations regarding the streamlining of the daily regimen, nutrition, labor and rest. It is important to normalize relations in the family and at work.
  • Drug therapy is prescribed in accordance with the complaints and general well-being of the patient, but usually treatment begins with mild sedative drugs of plant origin. In addition, all the attention of doctors is directed to eliminating the causes of cardiac neurosis.

Alternative treatment of heart neurosis

Soothing infusions and decoctions will be effective.

To make a healthy drink, you need dry raw materials – common lemon balm, pharmacy chamomile, peppermint, sage. A tablespoon of a mixture of herbs is brewed with a glass of boiling water, infused. After filtering, the drink can be consumed, you need to do this twice a day.

For the stable operation of blood vessels and the nervous system, the following is added to the daily diet:

They can be chopped with a blender, mixed with honey and consumed in a tablespoon 2 times a day – morning and evening. Therapy is necessary comprehensive.

Traditional medicine offers a lot of tools that have a sedative (calming) effect on the body. In agreement with the attending physician, some of them can be used in the treatment of cardioneurosis.

  1. Infusion of motherwort herb – prevents the recurrence of attacks of cardioneurosis, improves sleep, relieves excessive tension. Pour a tablespoon of chopped motherwort herb with a glass of boiling water, leave for 30 minutes, then strain and add 30 drops of pharmacy alcohol tincture of May lily of the valley to it. Take 5 times a day, 20 ml.
  2. 4 tablespoons of infusion of valerian root, 2 tablespoons of peppermint leaves and fennel fruits, 1 tablespoon of May lily of the valley flowers and pharmacy chamomile, chop and mix well. Take 2 teaspoons of the mixture and pour it in a glass of very cold water. Insist in a dark and cool place for 3-4 hours, then bring to a boil, cool and strain. Take 50 ml 3-4 times a day with a combination of symptoms of cardioneurosis and impaired digestive system.
  3. Infusion of hop cones, yarrow herb, lemon balm leaves and valerian root to take in equal quantities, mix well. A tablespoon of the mixture pour a glass of boiling water and leave for 30-35 minutes, strain. Drink the resulting infusion during the day in small sips. The tool has a pronounced sedative effect, helps to normalize sleep.

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Svetlana Borszavich

General practitioner, cardiologist, with active work in therapy, gastroenterology, cardiology, rheumatology, immunology with allergology.
Fluent in general clinical methods for the diagnosis and treatment of heart disease, as well as electrocardiography, echocardiography, monitoring of cholera on an ECG and daily monitoring of blood pressure.
The treatment complex developed by the author significantly helps with cerebrovascular injuries and metabolic disorders in the brain and vascular diseases: hypertension and complications caused by diabetes.
The author is a member of the European Society of Therapists, a regular participant in scientific conferences and congresses in the field of cardiology and general medicine. She has repeatedly participated in a research program at a private university in Japan in the field of reconstructive medicine.

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