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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:

 

Angina

Da Costa's syndrome

Site:

central, retrosternal across the chest

left breast

Radiation:

arms, jaw, back

left arm

Description:

constricting, crushing

ache with sharp stabs

Duration:

minutes

minutes to hours

Provocation:

effort and emotion

effort, fatigue, in bed

Other symptoms:

nil

breathlessness, exhaustion, dizziness

Coronary arteries

often stenosed

normal

 

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.

Reference:

  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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