Can myocardial ischemia occur in neurosis?

Myocardial ischemia is not usually present in neuroses.
Neurosis is a general term for a group of mental disorders, including anxiety disorders, phobias, obsessive-compulsive disorder, neurasthenia, etc., often without organic damage. Usually manifested as insomnia, anxiety, depression, irritability, headache, etc. Sometimes the vegetative nerve disorder can appear palpitations, chest tightness, chest pain, shortness of breath and other myocardial ischemia-like manifestations, but will not lead to myocardial ischemia.
Myocardial ischemia is caused by coronary artery stenosis, spasm, or thrombosis, resulting in insufficient blood supply to the myocardium. Common causes include coronary artery disease, hypertension, arrhythmia, and variant angina, which can be clarified through electrocardiography, coronary angiography, and cardiac enzymes.
When neurosis occurs, it is necessary to consult a doctor in a timely manner, and standardized treatment should be carried out under the guidance of the doctor.