Neurocirculatory Asthenia: Causes, Symptoms, Diagnosis, and Treatment

Neurocirculatory asthenia, also known as anxiety neurosis or Da Costa’s syndrome, is a condition characterized by a group of symptoms that are thought to be related to anxiety and stress. The term “neurocirculatory” refers to the involvement of the nervous and circulatory systems, while “asthenia” means weakness or lack of energy.

Neurocirculatory Asthenia is also known as Soldier’s Heart, and Effort Syndrome. This article will explain the symptoms, causes, diagnosis, treatment, and prevention of Neurocirculatory Asthenia.


Neurocirculatory Asthenia has physical and psychological symptoms.

Physical Symptoms  can include:
  • Fatigue
  • Dizziness or lightheadedness
  • Shortness of breath
  • Rapid or irregular heartbeat (palpitations)
  • Chest pain or discomfort
  • Excessive sweating
  • Headaches
  • Digestive issues, such as nausea or abdominal pain
  • Anxiety or panic attacks
The psychological symptom of Neurocirculatory Asthenias include:
  • anxiety
  • depression
  • irritability
  • difficulty concentrating


The exact cause of anxiety neurosis is not well understood, but it is thought to be related to an imbalance in the autonomic nervous system, which regulates involuntary functions like heart rate, blood pressure, and digestion. 

It is believed to be triggered by environmental, psychological, and physical factors. Environmental factors include exposure to pollution, toxins, and other harmful substances. Psychological factors include stress, anxiety, and depression. Physical factors include chronic illness, infections, and other medical conditions that can lead to fatigue


Diagnosis of Neurocirculatory Asthenia involves a physical exam and medical tests. The physical exam may include a detailed medical history and an examination of the heart and lungs. Medical tests include an electrocardiogram (ECG), blood tests, and imaging tests. The doctor may also ask about symptoms, including their duration, severity, and frequenc.

Diagnosis can be challenging, as its symptoms can overlap with those of other medical conditions. To reach a diagnosis, doctors typically rule out other potential causes and may use psychological assessments to evaluate the role of stress or anxiety in the patient’s life.


Treatment for this condition is usually focused on addressing the underlying anxiety or stress, which may involve therapy, medication, or lifestyle changes. Cognitive-behavioral therapy, relaxation techniques, and mindfulness practices can be helpful in managing anxiety and stress. In some cases, medications such as anti-anxiety drugs or antidepressants may be prescribed to help alleviate symptoms.

Medications include beta-blockers, which can reduce heart palpitations and other physical symptoms. Therapy can also be beneficial in managing psychological symptoms, such as anxiety and depression. Additionally, maintaining a healthy lifestyle, including regular exercise, a balanced diet, and adequate sleep, can also contribute to overall well-being and symptom management.


Preventing anxiety neurosis involves adopting healthy lifestyle habits and managing stress. It is important to exercise regularly, eat a balanced diet, and avoid smoking and excessive alcohol consumption. Stress management techniques, such as meditation, yoga, and deep breathing exercises, can also be helpful.


The management of this condition, which is also referred to as anxiety neurosis, typically involves a combination of pharmacological and non-pharmacological approaches. Some commonly recommended treatments include:

  1. Cognitive behavioral therapy (CBT): This form of therapy can help patients identify and change negative thought patterns and behaviors that contribute to their symptoms of anxiety and stress [1].
  2. Medications: Antidepressants such as selective serotonin reuptake inhibitors (SSRIs) or benzodiazepines may be prescribed to help manage symptoms of anxiety and panic attacks [2].
  3. Relaxation techniques: These may include deep breathing exercises, progressive muscle relaxation, and guided imagery, which can help patients manage symptoms of anxiety and stress [3].
  4. Lifestyle modifications: Regular exercise, healthy eating habits, and adequate sleep can all help improve overall well-being and reduce symptoms of anxiety and stress [4].

It is important to note that the best management approach will depend on the individual patient’s symptoms and needs, and it is recommended to consult with a qualified healthcare provider for personalized treatment recommendations.

Neurocirculatory asthenia vs Hyperventilation syndrome

Neurocirculatory asthenia and hyperventilation syndrome as the two are distinct medical conditions with different causes, symptoms, and treatment approaches. While both conditions may involve shortness of breath and other symptoms related to the respiratory system, neurocirculatory asthenia is a term that was previously used to describe a symptom complex that is now more commonly referred to as panic disorder or anxiety disorder [1], while hyperventilation syndrome is a condition in which a person breathes too quickly and deeply, leading to a decrease in carbon dioxide levels in the blood and various symptoms such as dizziness, tingling sensations, and chest pain [2].

If you have concerns about your symptoms, it is important to speak with a qualified healthcare provider who can evaluate your condition and recommend appropriate treatment.

FAQ : Anxiety Neurosis

Is anxiety neurosis a serious condition?

While anxiety neurosis can be a debilitating condition, it is not typically life-threatening. However, it can have a significant impact on quality of life.

Can anxiety neurosis be cured?

While there is no known cure for anxiety neurosis, with proper management and treatment, symptoms can be significantly reduced or eliminated in many cases.

How it is diagnosed?

Diagnosis of it typically involves ruling out other potential causes of symptoms, such as heart disease or lung disease. A physical exam, medical history, and various tests may be used to help diagnose the condition.

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