In many regards, the reference to the "Heart" usually means "Mind". An actual heart is nothing more then that which moves blood around our bodies. It serves only as a pump.
Things that deeply effect us can cause stress that most feel in the center of their being. There are things we can reason through as to "What is right or correct" based upon the actions we see in other people. We see a man hold the door open for people, or a women help an elderly gentleman with a bag he drops, and think how selfless. We may be able to reflect the same behavior even if it goes against what we actually "Feel" like doing. Maybe because of one's particular Genetic, Environmental and Experiential makeup they are a bit more self reflective or very introverted . . .
To sum up, the conflict lays within someone's Impulsive nature to do one thing and the societal/ethical/moral expectation to do another.