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Comparison of angina and Da Costa's syndrome

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

The clinical features suggestive of typical angina and Da Costa's syndrome are compared and contrasted below:



Da Costa's syndrome


central, retrosternal across the chest

left breast


arms, jaw, back

left arm


constricting, crushing

ache with sharp stabs



minutes to hours


effort and emotion

effort, fatigue, in bed

Other symptoms:


breathlessness, exhaustion, dizziness

Coronary arteries

often stenosed



Da Costa’s publications in 1871 first described this syndrome. His definition of the syndrome was based on observations of soldiers during the American Civil War.


  1. J. M. Da Costa: On irritable heart; a clinical study of a form of functional cardiac disorder and its consequences. American Journal of the Medical Sciences, Thorofare, N.J., 1871, 61: 17–52.

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