0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Other Articles |

DA COSTA'S SYNDROME, OR NEUROCIRCULATORY ASTHENIA

JAMA. 1951;147(4):327. doi:10.1001/jama.1951.03670210039010.
Text Size: A A A
Published online

The appearance in 1940 of the second edition of Sir Thomas Lewis's "The Soldier's Heart and the Effort Syndrome"1 focused the attention of physicians once more on one of the most frequent causes of invalidism among soldiers. Because the symptoms resembled those of fatigue following effort in normal persons, Lewis suggested the name "effort syndrome." The name "neurocirculatory asthenia" was suggested by a team of medical reserve corps officers of the American Army2 sent to Colchester, England, to study the condition with Sir Thomas Lewis. They felt that the symptoms comprising effort syndrome in normal persons were not the same as those observed in neurocirculatory asthenia. Da Costa described its occurrence many years ago in the United States. He stressed that the condition was not confined to soldiers, since the symptoms were frequently present before enlistment. Fever, diarrhea, wounds, and strenuous existence of the soldiers were predisposing factors.

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();