The Electrocardiogram in Neurocirculatory Asthenia (Anxiety, Neurosis or Neurasthenia): A Study of 203 Neurocirculatory Asthenia Patients and 757 Healthy Controls in the Framingham Study

Article1 December 1958THE ELECTROCARDIOGRAM IN NEUROCIRCULATORY ASTHENIA (ANXIETY, NEUROSIS OR NEURASTHENIA): A STUDY OF 203 NEUROCIRCULATORY ASTHENIA PATIENTS AND 757 HEALTHY CONTROLS IN THE FRAMINGHAM STUDYWILLIAM B. KANNEL, M.D., T. R. DAWBER, M.D., F.A.C.P., MANDEL E. COHEN, M.D.WILLIAM B. KANNEL, M.D.Search for more papers by this author, T. R. DAWBER, M.D., F.A.C.P.Search for more papers by this author, MANDEL E. COHEN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-49-6-1351 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptA number of reports have suggested that neurocirculatory asthenia, sometimes called anxiety neurosis or neurasthenia,1 is a cause of or is associated with electrocardiographic abnormalities.2-9 The nature of these abnormalities was variable and in some instances resembled those found in organic heart disease. Such variations as transient S-T segment deviation3, 4 and T-wave flattening or inversion2 are among those considered to be due to neurocirculatory asthenia. Other reports do not support these claims.10, 14In view of the fact that an electrocardiogram is a common laboratory test used not only in cardiac patients but also as part of the complete...Bibliography1. CohenWhite MEPD: Life situations, emotions, and neurocirculatory asthenia (anxiety neurosis, neurasthenia, effort syndrome), Psychosom. Med. 13: 335, 1951. CrossrefMedlineGoogle Scholar2. MendkosLogue MHRB: Unstable T-waves in leads II and III in persons with neurocirculatory asthenia, Am. Heart J. 31: 711, 1946. CrossrefMedlineGoogle Scholar3. Master AM: Effort syndrome or neurocirculatory asthenia in the Navy, U. S. Nav. M. Bull. 41: 666, 1943. Google Scholar4. 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Author, Article, and Disclosure InformationAffiliations: *Received for publication December 4, 1957.From the National Heart Institute, National Institutes of Health, Public Health Service, U. S. Department of Health, Education, and Welfare, The Cardiac Research Laboratory, Massachusetts General Hospital, and the Department of Medicine, Harvard Medical School.Requests for reprints should be addressed to William B. Kannel, M.D., Heart Disease Epidemiology Study, 123 Lincoln Street, Framingham, Massachusetts. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byVentricular Repolarization: Theory and Practice in Non-Ischemic MyocardiumVentricular Repolarization: Theory and Practice in Non-Ischemic MyocardiumLife events and neurocirculatory asthenia. A controlled studyAutonomic balance revisited: Panic anxiety and heart rate variabilityNeurocirculatory asthenia: a reassessment using modern psychosomatic criteriaFunktionelle Herz-Kreislauf-StörungenSystemic hormonal and physiological abnormalities in anxiety disordersDa Costa's syndrome or neurocirculatory asthenia.ReferencesA behavioral study of middle-aged chest pain patients: Physical symptom reporting, anxiety, and depressionElevated ejection fractions in patients with the anginal syndrome and normal coronary arteriogramsHyperventilation Syndrome: A Frequent Cause of Chest PainMyocardial function during atrial pacing in patients with angina pectoris and normal coronary arteriogramsThe fate of women with normal coronary arteriograms and chest pain resembling angina pectorisReferencesCHRONIC ANXIETY NEUROSIS: CLINICAL AND SEXUAL ASPECTSCardiovascular disease in African PygmiesStudies in Neurocirculatory Asthenia (Da Costa's Syndrome): I. Variations with Regard to Symptoms and some Pathophysiological SignsStudies in Neurocirculatory Asthenia (Da Costa's Syndrome): II. Statistical Analysis of the Associations between Symptoms and Signs in the Work Test and the Orthostatic Test, and the Correlation between these Factors and Immobilization and Bodily ConstituDie Coronarerkrankungen. Coronarinsuffizienz, Angina pectoris und Herzinfarkt 1 December 1958Volume 49, Issue 6Page: 1351-1360KeywordsAnxietyElectrocardiographyHeartHospital medicineHypertensionLaboratory testsMedical educationMedical servicesPrevention, policy, and public healthResearch laboratories ePublished: 1 December 2008 Issue Published: 1 December 1958 PDF downloadLoading ...