Effort syndrome

Effort Syndrome
Effort Syndrome
Other names	Da Costa's Syndrome, Soldier's Heart, Neurocirculatory Asthenia

Effort syndrome, also known as Da Costa's syndrome or soldier's heart, is a condition characterized by a set of symptoms including fatigue, shortness of breath, palpitations, and chest pain, particularly in response to physical or emotional stress. Despite its presentation, the syndrome is not associated with underlying heart disease. The condition is thought to be a type of functional cardiovascular disorder and is closely related to anxiety disorders.

Symptoms[edit | edit source]

Effort syndrome presents with a variety of symptoms that typically occur during or after physical exertion or stress. These include:

Fatigue
Shortness of breath
Palpitations
Chest pain
Dizziness
Anxiety

Causes[edit | edit source]

The exact cause of effort syndrome is not well understood, but it is believed to involve a combination of psychological and physiological factors. Stress and anxiety are thought to play a significant role in its development.

Diagnosis[edit | edit source]

Diagnosis of effort syndrome is primarily based on the patient's symptoms and medical history, as physical examinations and routine tests often do not reveal any specific abnormalities. It is important to rule out other potential causes of the symptoms, such as heart disease or thyroid disorders.

Treatment[edit | edit source]

Treatment for effort syndrome focuses on managing symptoms and may include:

Lifestyle modifications, such as regular exercise and stress management techniques
Psychological therapies, such as cognitive-behavioral therapy (CBT)
Medications to manage symptoms, such as beta-blockers for palpitations

Prognosis[edit | edit source]

With appropriate management, many individuals with effort syndrome can lead normal, active lives. However, symptoms may persist or recur, particularly during periods of stress.

History[edit | edit source]

The condition was first described during the Civil War by Jacob Mendes Da Costa, who observed it in soldiers, leading to the name "soldier's heart." It has been recognized under various names and descriptions throughout history.

A[edit source]

B[edit source]

Brown atrophy of the heart

C[edit source]

D[edit source]

E[edit source]

H[edit source]

A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z

I[edit source]

K[edit source]

Keshan disease

L[edit source]

Loeffler endocarditis

M[edit source]

N[edit source]

Nonbacterial thrombotic endocarditis

O[edit source]

P[edit source]

R[edit source]

S[edit source]