The task of classifying the psychoses caused or aggravated by disease of the heart is not easy. Eliminating organic disease of the brain, it is probable that disease of the heart is responsible for more cases of psychic disturbance than is disease of any other organ. It is notable that but brief attention is accorded to this etiologic phase of insanity and allied psychoses by textbook authors, probably for the reason that heart disease is in most instances regarded as a result or simple complication and not as a cause. A further explanation of the possible oversight rightly to place heart diseases in the etiology of mental disturbances is that, primarily, the psychic phenomena of the milder forms of heart trouble, such as palpitation, are usually insufficient to constitute insanity and are looked on as unimportant. Secondly, the severe forms of heart disease producing active mental disturbance, incapacitate the victim
HOUSE W. THE PSYCHOSES OF HEART DISEASE. JAMA. 1905;XLV(18):1306–1309. doi:10.1001/jama.1905.52510180022002d
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