King's College London

Research portal

Soldier’s heart: the forgotten circulatory neurasthenia–a systematic review

Research output: Contribution to journalReview article

Standard

Soldier’s heart : the forgotten circulatory neurasthenia–a systematic review. / Borges, Guilherme Passamani; Tonon, João Henrique Almeida; Zunini, Pablo Andres Alves da Silva; Martins da Silva, Anderson Sousa; Garcia, Marcelo de Freitas Valeiro; de Azevedo-Marques Périco, Cintia; Lima, Danielle Ruiz; Torales, Julio; Ventriglio, Antonio; Bhugra, Dinesh; Castaldelli-Maia, João Mauricio.

In: International Review of Psychiatry, Vol. 32, No. 5-6, 17.08.2020, p. 510-519.

Research output: Contribution to journalReview article

Harvard

Borges, GP, Tonon, JHA, Zunini, PAADS, Martins da Silva, AS, Garcia, MDFV, de Azevedo-Marques Périco, C, Lima, DR, Torales, J, Ventriglio, A, Bhugra, D & Castaldelli-Maia, JM 2020, 'Soldier’s heart: the forgotten circulatory neurasthenia–a systematic review', International Review of Psychiatry, vol. 32, no. 5-6, pp. 510-519. https://doi.org/10.1080/09540261.2020.1757925

APA

Borges, G. P., Tonon, J. H. A., Zunini, P. A. A. D. S., Martins da Silva, A. S., Garcia, M. D. F. V., de Azevedo-Marques Périco, C., Lima, D. R., Torales, J., Ventriglio, A., Bhugra, D., & Castaldelli-Maia, J. M. (2020). Soldier’s heart: the forgotten circulatory neurasthenia–a systematic review. International Review of Psychiatry, 32(5-6), 510-519. https://doi.org/10.1080/09540261.2020.1757925

Vancouver

Borges GP, Tonon JHA, Zunini PAADS, Martins da Silva AS, Garcia MDFV, de Azevedo-Marques Périco C et al. Soldier’s heart: the forgotten circulatory neurasthenia–a systematic review. International Review of Psychiatry. 2020 Aug 17;32(5-6):510-519. https://doi.org/10.1080/09540261.2020.1757925

Author

Borges, Guilherme Passamani ; Tonon, João Henrique Almeida ; Zunini, Pablo Andres Alves da Silva ; Martins da Silva, Anderson Sousa ; Garcia, Marcelo de Freitas Valeiro ; de Azevedo-Marques Périco, Cintia ; Lima, Danielle Ruiz ; Torales, Julio ; Ventriglio, Antonio ; Bhugra, Dinesh ; Castaldelli-Maia, João Mauricio. / Soldier’s heart : the forgotten circulatory neurasthenia–a systematic review. In: International Review of Psychiatry. 2020 ; Vol. 32, No. 5-6. pp. 510-519.

Bibtex Download

@article{e152197b50e1440195fdf8951b7c93bf,
title = "Soldier{\textquoteright}s heart: the forgotten circulatory neurasthenia–a systematic review",
abstract = "Soldier{\textquoteright}s Heart (SH) is a former medical diagnosis, rarely mentioned nowadays, presented under several other names. Considering the controversy regarding the removal of Soldier{\textquoteright}s Heart diagnosis from DSM-5, this study aimed to conduct a systematic review to evaluate its usage in the clinical practice. Information on diagnosis, military stress, heart rate variability, treatment, and prognosis were collected from 19 studies included after a systematic literature search. Considering the lack of adequate use of Soldier{\textquoteright}s Heart diagnosis and the diagnostic overlapping with other conditions, the present systematic review supports the inclusion of Soldier{\textquoteright}s Heart under the umbrella of posttraumatic stress disorders (PTSDs). This proposal is also in line with the conception that physical symptoms are relevant features often associated with generalized anxiety disorder and PTSD. Also, it will be described the higher prevalence of cardiological comorbidities in SH and possible cardiological consequences. Pharmacotherapy based on benzodiazepines and beta-blockers, as well as biofeedback and mindfulness techniques are considered to be useful treatment options. Further studies are needed to better define psychopathological domains of this syndrome and possible novel treatment targets.",
keywords = "Da Costa{\textquoteright}s syndrome, effort syndrome, functional cardiovascular disease, neurocirculatory asthenia, Soldier{\textquoteright}s heart",
author = "Borges, {Guilherme Passamani} and Tonon, {Jo{\~a}o Henrique Almeida} and Zunini, {Pablo Andres Alves da Silva} and {Martins da Silva}, {Anderson Sousa} and Garcia, {Marcelo de Freitas Valeiro} and {de Azevedo-Marques P{\'e}rico}, Cintia and Lima, {Danielle Ruiz} and Julio Torales and Antonio Ventriglio and Dinesh Bhugra and Castaldelli-Maia, {Jo{\~a}o Mauricio}",
year = "2020",
month = aug,
day = "17",
doi = "10.1080/09540261.2020.1757925",
language = "English",
volume = "32",
pages = "510--519",
journal = "International Review of Psychiatry",
issn = "0954-0261",
publisher = "Informa Healthcare",
number = "5-6",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Soldier’s heart

T2 - the forgotten circulatory neurasthenia–a systematic review

AU - Borges, Guilherme Passamani

AU - Tonon, João Henrique Almeida

AU - Zunini, Pablo Andres Alves da Silva

AU - Martins da Silva, Anderson Sousa

AU - Garcia, Marcelo de Freitas Valeiro

AU - de Azevedo-Marques Périco, Cintia

AU - Lima, Danielle Ruiz

AU - Torales, Julio

AU - Ventriglio, Antonio

AU - Bhugra, Dinesh

AU - Castaldelli-Maia, João Mauricio

PY - 2020/8/17

Y1 - 2020/8/17

N2 - Soldier’s Heart (SH) is a former medical diagnosis, rarely mentioned nowadays, presented under several other names. Considering the controversy regarding the removal of Soldier’s Heart diagnosis from DSM-5, this study aimed to conduct a systematic review to evaluate its usage in the clinical practice. Information on diagnosis, military stress, heart rate variability, treatment, and prognosis were collected from 19 studies included after a systematic literature search. Considering the lack of adequate use of Soldier’s Heart diagnosis and the diagnostic overlapping with other conditions, the present systematic review supports the inclusion of Soldier’s Heart under the umbrella of posttraumatic stress disorders (PTSDs). This proposal is also in line with the conception that physical symptoms are relevant features often associated with generalized anxiety disorder and PTSD. Also, it will be described the higher prevalence of cardiological comorbidities in SH and possible cardiological consequences. Pharmacotherapy based on benzodiazepines and beta-blockers, as well as biofeedback and mindfulness techniques are considered to be useful treatment options. Further studies are needed to better define psychopathological domains of this syndrome and possible novel treatment targets.

AB - Soldier’s Heart (SH) is a former medical diagnosis, rarely mentioned nowadays, presented under several other names. Considering the controversy regarding the removal of Soldier’s Heart diagnosis from DSM-5, this study aimed to conduct a systematic review to evaluate its usage in the clinical practice. Information on diagnosis, military stress, heart rate variability, treatment, and prognosis were collected from 19 studies included after a systematic literature search. Considering the lack of adequate use of Soldier’s Heart diagnosis and the diagnostic overlapping with other conditions, the present systematic review supports the inclusion of Soldier’s Heart under the umbrella of posttraumatic stress disorders (PTSDs). This proposal is also in line with the conception that physical symptoms are relevant features often associated with generalized anxiety disorder and PTSD. Also, it will be described the higher prevalence of cardiological comorbidities in SH and possible cardiological consequences. Pharmacotherapy based on benzodiazepines and beta-blockers, as well as biofeedback and mindfulness techniques are considered to be useful treatment options. Further studies are needed to better define psychopathological domains of this syndrome and possible novel treatment targets.

KW - Da Costa’s syndrome

KW - effort syndrome

KW - functional cardiovascular disease

KW - neurocirculatory asthenia

KW - Soldier’s heart

UR - http://www.scopus.com/inward/record.url?scp=85086366442&partnerID=8YFLogxK

U2 - 10.1080/09540261.2020.1757925

DO - 10.1080/09540261.2020.1757925

M3 - Review article

C2 - 32459107

AN - SCOPUS:85086366442

VL - 32

SP - 510

EP - 519

JO - International Review of Psychiatry

JF - International Review of Psychiatry

SN - 0954-0261

IS - 5-6

ER -

View graph of relations

© 2018 King's College London | Strand | London WC2R 2LS | England | United Kingdom | Tel +44 (0)20 7836 5454