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["Functional cardiac symptoms"]

W Schweizer

    Schweizerische Medizinische Wochenschrift
    |May 10, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Psychogenic symptoms, often mistaken for heart conditions, are common and can manifest as chest pain or palpitations. Recognizing these symptoms as harmless can significantly improve patient well-being.

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    Area of Science:

    • Psychosomatic Medicine
    • Cardiology
    • Psychiatry

    Context:

    • Psychogenic symptoms are frequently observed in cardiological practice, often misdiagnosed as cardiac disease.
    • A significant proportion of patients present with symptoms like chest pain, palpitations, breathlessness, and loss of consciousness that are psychic in origin.

    Purpose:

    • To differentiate psychogenic symptoms from those of organic heart disease.
    • To highlight the prevalence and characteristics of psychogenic symptoms in a cardiological setting.
    • To advocate for the abandonment of the term "functional symptoms" in favor of "psychogenic symptoms".

    Summary:

    • The study identified characteristic psychogenic symptoms including chest pain, palpitations, breathlessness, and loss of consciousness, distinct from cardiac disease symptoms.

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  • Out of 310 patients, 170 reported psychogenic symptoms, with 107 cases being exclusively psychic in origin.
  • These symptoms accounted for a substantial percentage of various complaints, such as over half of chest pains and 65% of loss of consciousness episodes.

    • Impact:

    • Increased awareness that these psychogenic symptoms are harmless can lead to significant health improvements.
    • Patient education regarding the benign nature of these symptoms is crucial for recovery.
    • In some cases, extensive psychotherapy may be necessary for managing persistent psychogenic symptoms.