Abstract
An ST elevation in the left precordial leads is one of our five criteria for the pattern of actual peurosis (Boss). Further analytic and psychotherapeutic approaches were made to those patients with normal hearts which show a concave RS-T elevation in the left precordial leads. Examples of the life history of patients with a concave RS-T elevation were described. The development of a concave RS-T elevation by stress and its normalization by psychotherapy were demonstrated. The concave RS-T elevation similar to that found in patients with actual neurosis was found in patients treated by a long-term administration of glucocorticoids.