PSYCHOSOMATIC ASPECTS OF HEART DISEASE: ANXIETY HYSTERIA IN A PATIENT WITH PATENT DUCTUS ARTERIOSUS

Abstract

Case Reports1 May 1949PSYCHOSOMATIC ASPECTS OF HEART DISEASE: ANXIETY HYSTERIA IN A PATIENT WITH PATENT DUCTUS ARTERIOSUSLEONARD MAHOLICK, M.D., R. BRUCE LOGUE, M.D., F.A.C.P.LEONARD MAHOLICK, M.D.Search for more papers by this author, R. BRUCE LOGUE, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-30-5-1043 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptNot long ago Oille1said, "Almost 60 per cent of the patients who consult a cardiac specialist are suffering either from an exaggerated or wholly unnecessary anxiety about their hearts, arising from suggestion and not based on reason." Nellis2stated that no layman he had ever questioned had noticed a relationship between emotional stress and heart action; even medical students failed to appreciate it. Yet this relationship is so familiar to physicians that they forget its clinical implications. These statements immediately make it clear that a doctor often has to look beyond the cardiovascular system into the psyche in order...Bibliography1. OILLE JA: Cardiac neurosis, Canad. Med. Assoc. Jr., 1941, xlv, 1. Google Scholar2. FOSTER NB: Psychic factors in the cause of cardiac disease, Jr. Am. Med. Assoc., 1927, lxxxix, 1017. CrossrefGoogle Scholar3. WEISS E: Anxiety and the heart, Clinics, 1942, i, 916. WEISS, E. and ENGLISH, S. O.: Psychosomatic medicine, Chap. IV, 1943, W. B. Saunders Company. Google Scholar4. CONNER LA: The psychic factors in cardiac disorders, Jr. Am. Med. Assoc., 1930, xciv, 447. CrossrefGoogle Scholar5. NEUHOF S: The neurotic element in organic cardiovascular disease, New York Med. Jr., 1922, cxv, 80. Google Scholar6. CONNER LA: Ibid., 1930, xciv, 448. Google Scholar7. AUERBACKGLIEBE APA: Iatrogenic heart disease, Jr. Am. Med. Assoc., 1945, cxxix, 338. CrossrefGoogle Scholar8. DUNBAR HF: Emotions and bodily changes, 2nd Ed., Columbia Univ. Press. Google Scholar9. ADLER A: The cause and prevention of neurosis, Jr. Abnorm. Psychol., 1928, xxiii, 4. Google Scholar10. CONNER LA: Ibid., 1930, xciv, 450. Google Scholar11. WEISS E: Ibid., Chapt. iv, 1943, p. 77. Google Scholar12. MCGREGOR : The emotional factors in visceral disease, 1938, Oxford U. Press. Google Scholar13. LIPKIN M: "Heart" pain with and without structural alteration, Psychosom. Med., 1944, vi, 237-261. Google Scholar14. GLIEBEAUERBACH PAA: Sighing and other forms of hyperventilation simulating organic disease, Jr. Nerv., and Ment. Dis., 1944, xcix, 600. CrossrefGoogle Scholar15. WOOD P: DaCosta's syndrome (or effort syndrome), Brit. Med. Jr., 1941, i, 767-772. CrossrefGoogle Scholar16. FRIEDMAN M: Studies concerning the etiology and pathogenesis of neurocirculatory asthenia. IV. The respiratory manifestations of neurocirculatory asthenia, Am. Heart Jr., 1945, xxx, 557-566. CrossrefGoogle Scholar17. PARKINSON J: Effort syndrome in soldiers, Brit. Med. Jr., 1941, i, 545-549. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Atlanta, Georgia*Received for publication January 20, 1948. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 May 1949Volume 30, Issue 5Page: 1043-1049KeywordsAnxietyCardiovascular therapyEmotionsHeartPatent ductus arteriosus Issue Published: 1 May 1949 PDF DownloadLoading ...