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:
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