Stress-induced cardiomyopathy: Mechanism and clinical aspects

Jun Won Lee, Byung Il William Choi

Research output: Chapter in Book/Report/Conference proceedingChapter


The heart has been used as a classic symbol to represent emotion from ancient times. For example, heartbreak or heartache is an informal expression used when we feel pain due to emotional events such as sorrow, grief, sense of loss, anger, anxiety, and panic. In Korea, the word hwabyung means anger or fire disease [1]. The most common symptoms are chest tightness, dyspnea, and heat sensation, and patients with this culture-related anger syndrome often pound their chest with fists to relieve the symptoms. Predisposing factors of hwabyung are known to be related to psychological stressors. Psychological stressors need to be considered an important issue, especially in cardiovascular disease [2]. Depression is an established risk factor for coronary heart disease [3]. Stress-induced cardiomyopathy (SICM) is currently regarded as a suitable model of cardiovascular psychophysiology. This chapter discusses the mechanism and clinical aspects of SICM.

Original languageEnglish
Title of host publicationSomatization and Psychosomatic Symptoms
PublisherSpringer New York
Number of pages16
ISBN (Electronic)9781461471196
ISBN (Print)1461471184, 9781461471189
Publication statusPublished - 2013 Feb 1

Bibliographical note

Publisher Copyright:
© 2013 Springer Science+Business Media New York. All rights are reserved.

All Science Journal Classification (ASJC) codes

  • Psychology(all)
  • Medicine(all)


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