Maier W, Buller R, Rieger H, Benkert O
Eur Arch Psychiatry Neurol Sci. 1985;235(3):146-52. doi: 10.1007/BF00380985.
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.
心脏焦虑综合征和心脏神经症的诊断分别以惊恐发作为特征。惊恐发作是一种已被证实的焦虑障碍（惊恐障碍）的核心综合征。本研究的目的是调查心脏焦虑综合征是代表一种单独的疾病，还是仅仅是惊恐发作的一个亚型。在122例惊恐发作患者的样本中，选取了所有患有心脏焦虑综合征的患者（n = 31）。此外，与该组在年龄和性别变量上相匹配，选取了第二组无心脏焦虑综合征的患者。在病程方面没有显著差异；在临床现象学上，心脏焦虑综合征患者与无心脏焦虑综合征患者的区别仅在于躯体化和恐惧回避的程度更高。这些结果证实了心脏焦虑综合征是惊恐发作的一个亚型，并不代表一种单独疾病的假设。
