Skip to main content
Log in

The cardiac anxiety syndrome — a subtype of panic attacks

  • Published:
European archives of psychiatry and neurological sciences Aims and scope Submit manuscript

Summary

Cardiac anxiety syndrome and the diagnosis of cardiac neurosis respectively are characterized by panic attacks. Panic attacks are the core syndrome of a validated anxiety disorder (panic disorder). The purpose of this study was to investigate if the cardiac anxiety syndrome represents a separate disorder or if it is only a subtype of panic attacks.

In a sample of 122 patients with panic attacks, all patients with a cardiac anxiety syndrome were selected (n = 31). Furthermore, parallel to this group—matched in the variables age and sex—a second group of patients with no cardiac anxiety syndrome was selected. There were no significant differences in course; in clinical phenomenology, patients with a cardiac anxiety syndrome were only distinguished by a greater intensity of somatization and phobic avoidance from patients with no cardiac anxiety syndrome. These results confirm the hypothesis that the cardiac anxiety syndrome is a subtype of panic attacks and does not represent a separate disorder.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Bech P, Rafaelsen OJ, Bowlig TG, Kramp P, Gjerris A (1980) The Bech-Rafaelsen combined rating scale for Mania and Melancholia. In: Achte K, Aalberg V, Löönequist J (eds) Psychopathology of depression. Acta Psychiatr Fennica Supp

  2. Bräutigam W, Christian P (1981) Psychosomatische Medizin, 3. Auflage, Thieme, Stuttgart

    Google Scholar 

  3. Cohen ME, White PD, Johnson RE (1951) Life situations, emotions, neurocirculatory asthenia (anxiety neurosis, neurasthenia, effort syndrome). Psychosomatic Med 13:335–350

    Google Scholar 

  4. Degkwitz R, Helmchen H, Kockott G, Mombour W (1980) Diagnoseschlüssel and Glossar psychiatrischer Krankheiten, 9. Revision, Springer, Berlin Heidelberg New York

    Google Scholar 

  5. Derogatis LR, Lipman RS, Couvi L (1973) An outpatient psychiatric rating scale, preliminary report. Psychopharmocat Bull 9:13–28

    Google Scholar 

  6. Diagnostic and Statistical Manual of Mental Disorders, Third Edition (1980) Am Psychiatr Assoc, Washington, DC.

  7. Freud S (1895) Über die Berechtigung von der Neurasthenic einen bestimmten Symptomenkomplex als „Angstneurose” abzutrennen. Ges Werke Bds. 1, Fischer, Frankfurt

    Google Scholar 

  8. Feighner JP, Robins E, Guze SR, Woodruff RA, Winokur G, Munoz R (1972) Diagnostic criteria for use in psychiatric research. Arch Gen Psychiatr 26:57–63

    Google Scholar 

  9. Gurney C, Roth M, Garside RR, Kerr RA, Schapiro H (1972) The assessment and prediction of outcome in affective disorders. Br J Psychiatr 121:162–166

    Google Scholar 

  10. Guze SB, Woodruff RA, Clayton PJ (1972) Sex, age, diagnosis of hysteria (Briquet's syndrome). Am J Psychiatr 129:745–748

    Google Scholar 

  11. Hamilton M (1960) A rating scale for depression. J Neurol Neurochir Psychiatr 23:56–62

    Google Scholar 

  12. Hamilton M (1976) Hamilton anxiety scale. In: Guy W (ed) ECDEU assessment manual for psychopharmacology. Rev Rockvielle, 193–199

  13. Hoffmann SO, Hochapfel G (1984) Einführung in die Neurosenlehre und Psychosomatische Medizin, 2. Auflage, UTB, Stuttgart

    Google Scholar 

  14. Keller MB, Lavori PHW, Endicott J, Coryell W, Klerman GL (1983) “Double depression”: two year follow-up. Am J Psychiat 140:689–694

    Google Scholar 

  15. Kohnen R, Benkert O (1985) Die Herzangst-Skala (CAS), in preparation

  16. Klein DF (1964) Delineation of two-drug-responsive anxiety syndromes. Psychopharmacology 5:397–408

    Google Scholar 

  17. Kulenkampf C, Bauer A (1960) Über das Syndrom der Herzphobie. Nervenarzt 31:443–448

    Google Scholar 

  18. Liebowitz MR, Fyer AJ, Gorman JM, Dillon D, Appely IL, Levy G, Anderson S, Levitt S, Paliy M, Danies SO, Klein DR (1984) Lactate provocation of panic attacks. I. Clinical and behavioral findings. Arch Gen Psychiatr 41:761–770

    Google Scholar 

  19. Michaelis R (1970) Das Herzangstsyndrom. Klinisches Bild, Ursachen, Differentialdiagnose und Therapie in psychiatrischer Sicht. Karger, Basel

    Google Scholar 

  20. Miles HHW, Cobb S (1951) Neurocirculatory asthenia, anxiety neurosis. N Engl J Med 245:711–718

    Google Scholar 

  21. Myers JK, Weissmann MM, Tischler GL, Holzer CE III, Leaf JD, Kramer M, Stolzman R (1984) Six-month prevalence of psychiatric disorders in three communities. Arch Gen Psychiatr 41:959–971

    Google Scholar 

  22. Richter HE, Beckmann D (1973) Herzneurose, 2. Auflage, Thieme, Stuttgart

    Google Scholar 

  23. Richter HE (1964) Zur Psychodynamik der Herzneurose. Z Psychosom Med 10:253–269

    Google Scholar 

  24. Robins E, Guze SB (1970) Establishment of diagnostic validity in psychiatric illness. Am J Psychiatr 126:983–987

    Google Scholar 

  25. Robins LR, Helzer MI, Crovguan I, Rashliffe K (1981) National Institute of Mental Health Diagnostic Interview Schedule: Its history, characteristics and validity. Arch Gen Psychiatr 31:381–389

    Google Scholar 

  26. Spitzer RL, Endicott J, Robins E (1978) Research diagnostic criteria: Rationale and reliability. Arch Gen Psychiatr 35:773–785

    Google Scholar 

  27. Spitzer RL, Endicott J (1978) Medical and mental disorder: proposed definition and criteria. In: Spitzer RL, Klein DF (eds) Critical issues in psychiatric diagnosis. Raven Press, New York

    Google Scholar 

  28. Spitzer RL, Endicott J (1978) Medical and mental disorder: proposed definition and criteria. In: Spitzer RL, Klein DF (eds) Critical issues in psychiatric diagnosis. Raven Press, New York

    Google Scholar 

  29. Studt HH, Bernhard P, Eith TF, Günzel M, Riehl A (1982) Zur Ätiopathogenese der Herzneurose. In: Studt HH (Hrsg) Psychosomatik in Forschung und Praxis. Urban und Schwarzenberg, München, pp 258–275

    Google Scholar 

  30. Uexkuell Th v (1983) Lehrbuch der Psychosomatischen Medizin, München

  31. Wood P (1941) Da Costa syndrome (or effort syndrome). Br Med J 1:767–775

    Google Scholar 

  32. Zitrin CM, Klein DF, Wömer MG (1983) Treatment of phobias. Arch Gen Psychiatr 40:125–130

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Maier, W., Buller, R., Rieger, H. et al. The cardiac anxiety syndrome — a subtype of panic attacks. Eur Arch Psychiatr Neurol Sci 235, 146–152 (1985). https://doi.org/10.1007/BF00380985

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00380985

Key words

Navigation