On irritable heart

Costa, José Jackson do Nascimento

doi:10.1016/0002-9343(51)90038-1

Cited by 43 publications

(8 citation statements)

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“…By the mid‐19th century physicians began to report on patients who were afflicted with a condition characterized by extreme fatigue and significantly reduced exercise tolerance that seemed to occur suddenly without obvious cause (like prolonged immobility). At the time of the American Civil War terms like irritable heart syndrome and Soldier's heart were used by DaCosta, 6 who first drew attention to patients' complaints of tachycardia and palpitations.…”

Section: Historical Aspectsmentioning

confidence: 99%

The Postural Orthostatic Tachycardia Syndrome:

Kanjwal¹,

Kosinski²,

Grubb³

2003

Pacing Clinical Electrophis

111

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Section: Historical Aspectsmentioning

confidence: 99%

The Postural Orthostatic Tachycardia Syndrome:

Kanjwal¹,

Kosinski²,

Grubb³

2003

Pacing Clinical Electrophis

111

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“…effects. (11), DaCosta main~ins that thespecial nerve center Df the heart is stimulated bv ,., reflex impulses from other portions of the body carried by way of the sympathetics. These reflexs impulses stimulate the nerve center and cause a resulting pUlsation of the heart.…”

Section: •mentioning

confidence: 99%

“…As was stated previously Da Costa was the first to report any clinical data on this subject. 11 analysis of several hundred patients was not completed until the year of his publica ti onof the subj ec t. (11). His observations justified the conclusion~ that the eondition was a functionalone.…”

mentioning

confidence: 95%

Neurocirculatory Asthenia

WINIK¹

1959

Anesthesiology

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Introd uc ti on A doctor's obligation to his profession is to serve ~umai ity.-By rendering~this service he must cure sometimes, relieve often, and confort always. While these facts were brewing within my mind there suddenly occurred to me that a great injustice was being administered to patients upon whom, for some reason or other, a diagnosis of heart disease had been bestowede Often times such a diagnosis is made without adequate grounds, and in other instances true heart disease is confused with only a functional disturbance. Mistakes in diagnosis, such as those mentioned, have caused many an individuals life to be ruined. Deeming this problem as important. at least in my mind, I shall take it upon myself to review the li terature on functional diseases of the heart and present this work as my senior thesis for the degree of doctor of medicine at !he University of Nebraska. , If the information to follow will aid the profession in diagnosing this syndrome, I will consider my work as fruitful.

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“…In 1871, Da Costa described a disorder of unknown origin characterized by the presence of one or more symptoms including palpitations, pain, rapid pulse, shortness of breath, headache, dizziness, disturbed sleep and digestive disorders. Pain mainly involving chest discomfort not typical of angina pectoris caused by ischemic heart disease was generally described as presenting as attacks [1]. The syndrome was subsequently defined in a number of ways, i.e., neurocirculatory asthenia, Da Costa's syndrome, cardiac neurosis and effort syndrome [2,3].…”

Section: Introductionmentioning

confidence: 99%

Life events and neurocirculatory asthenia. A controlled study

Sonino

Fava

Boscaro

et al. 1998

Journal of Internal Medicine

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Abstract. Sonino N, Fava GA, Boscaro M, Fallo F (University of Padova, Padova, University of Bologna, Bologna, Italy; and State University of New York at Buffalo, NY USA). Life events and neurocirculatory asthenia. A controlled study. J Intern Med 1998; 244: 523᎐8. Objectives:The purpose of this study was to assess the occurrence of stressful life events in the year before the onset of neurocirculatory asthenia. Design: Case-control retrospective study. Setting: A university medical outpatient clinic. Subjects: A consecutive series of 50 patients with neurocirculatory asthenia and a control group of 50 healthy subjects, matched for sociodemographic variables, were studied. Main outcome measures: Paykel's Interview for Recent Life Events (a semistructured research interview covering 64 life events) was administered to patients and controls. Results: Patients with neurocirculatory asthenia reported significantly more stressful life events than the control group (P Ͻ 0.05) and had significantly more of the following: exits (P Ͻ 0.05), undesirable (P Ͻ 0.05) and uncontrolled (P Ͻ 0.01) events. More events that had an objective negative impact (P Ͻ 0.001) and more independent events (P ϭ 0.07) were also reported. Ratings of impact and independence were carried out by a blind rater who was unaware whether the event had occurred in patients or controls. Conclusions:The results are suggestive of a strong relationship between stressful life events and neurocirculatory asthenia. This is in agreement with a multifactorial model of pathogenesis in neurocirculatory asthenia and with current understanding of the extensive links of behavioral responses to stress with neurophysiological and biochemical processes.

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On irritable heart

Cited by 43 publications

References 0 publications

The Postural Orthostatic Tachycardia Syndrome:

The Postural Orthostatic Tachycardia Syndrome:

Neurocirculatory Asthenia

Life events and neurocirculatory asthenia. A controlled study

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