Cardiac Neurosis (Da Costa Syndrome)

Cardiac neurosis (Daosta syndrome/neurocirculatory asthenia) presents with chest pain, palpitations, dyspnea, dizziness, and fatigue, with prominent anxiety about heart disease, despite a normal cardiac work-up. It is common in anxious, stressed individuals. Treatment: reassurance after appropriate exclusion of cardiac disease, cognitive-behavioral therapy, and treat comorbid anxiety/depression; avoid unnecessary repeated cardiac testing.

Common Symptoms

Chest pain; palpitations; dyspnea; dizziness; fatigue; cardiac anxiety; normal cardiac work-up

Causes and Pathogenesis

Anxiety/autonomic dysregulation produces cardiac-like symptoms and health anxiety, without structural heart disease.

Treatment

Reassurance after cardiac exclusion; CBT; treat anxiety/depression; relaxation; avoid repeated unnecessary cardiac tests

Preventive Measures

Stress management; treat anxiety; health education.

Department to Visit

It is recommended to visit the Cardiology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.