WALTER M. BARTLETT, M.D., F.A.C.P.
The more symptoms a patient complains of, the less the significance of each. Every paper on the subject of Effort Syndrome from the day of DaCosta1 to the present,2, 3, 4, 5 has stressed the multiplicity of the symptomatology. MacKenzie6 has pointed out the difficulty in describing the most common forms of disease, perhaps because of the fact emphasized by Starr7, 8 that it may be no disease but an exaggerated physiology or what has been referred to in a previous publication9 as a physiogenic form of abnormality of adjustment. Starr ingeniously compares effort syndrome with ordinary clumsiness of muscular
BARTLETT WM. NEUROCIRCULATORY ASTHENIA1. Ann Intern Med. ;30:966–973. doi: 10.7326/0003-4819-30-5-966
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Published: Ann Intern Med. 1949;30(5):966-973.
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