What are the examination methods for cardiac neurosis?

Aug 18, 2025 Source: Cainiu Health

Dr. Tian Hongbo

Introduction

Under normal circumstances, the diagnostic methods for cardiac neurosis include electrocardiogram (ECG), cardiac ultrasound, chest X-ray, thyroid function tests, and psychological assessment scales. Additionally, examinations for cardiac neurosis may also involve Holter monitoring (dynamic ECG) and blood biochemical tests. During the diagnostic process, patients should follow the guidance of a physician and undergo comprehensive evaluations to rule out organic diseases.

Generally, the diagnostic methods for cardiac neurosis include electrocardiogram (ECG), cardiac ultrasound, chest X-ray, thyroid function tests, and psychological assessment scales. Detailed analysis is as follows:

1. Electrocardiogram (ECG)

An ECG records the electrical activity of the heart and helps rule out organic lesions such as arrhythmia and myocardial ischemia. Patients with cardiac neurosis typically do not show specific abnormalities on ECG; however, it can exclude organic heart diseases like coronary artery disease and cardiomyopathy, providing a fundamental basis for diagnosis.

2. Cardiac Ultrasound

Cardiac ultrasound uses ultrasound imaging to clearly visualize the heart's structure and function. This examination can exclude organic problems such as cardiac enlargement and valvular disease. Since patients with cardiac neurosis usually have normal heart structures, this test helps distinguish between organic heart disease and functional symptoms.

3. Chest X-ray

Chest X-ray examination allows observation of the heart's size, shape, and lung condition. It helps rule out chest discomfort caused by pulmonary diseases or cardiac enlargement. Chest X-ray results in patients with cardiac neurosis are typically unremarkable.

4. Thyroid Function Tests

Thyroid function tests assess levels of thyroid hormones in the blood to exclude endocrine disorders such as hyperthyroidism or hypothyroidism. These conditions may cause symptoms similar to those of cardiac neurosis, and normal test results can help narrow the differential diagnosis.

5. Psychological Assessment Scales

Psychological assessment scales evaluate the patient's emotional state, such as levels of anxiety and depression, through questionnaires. Cardiac neurosis is closely related to psychological factors, and these scales can reflect the impact of psychological status on physical symptoms, providing reference for diagnosis and treatment.

In addition, other tests for cardiac neurosis include Holter monitoring and blood biochemical tests. During examinations, patients should follow medical guidance, comprehensively rule out organic diseases, and make a comprehensive judgment based on clinical symptoms and test results to avoid missed or incorrect diagnoses. Meanwhile, patients should proactively inform their doctors about their emotional and psychological state to facilitate a more accurate diagnosis.

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