On the subject of Functional Syndromes…

In 2-5 years, maybe less as fast as things seem to be advancing these days – will we have “discovered” more functional syndromes? At this time, we are well-aware of Functional Neurologic Disorders and realize a wide array of syndromes under this umbrella. The comprehensive list of these sub-syndromes and disorders are best left to experts such as Jon Stone and colleagues, than to me – see www.neurosymptoms.org. Haven’t we all been more aware recently (in the age of Covid-19) been aware of our lungs, trachea, and nasopharynx – an expanding “throat homunculus” that a colleague coined to me in a phone call? See health anxiety: https://www.neurosymptoms.org/health-anxiety/4594358015.  Recently, I have been compelled to ask myself silently and then to a few patients – about the possibility of a Functional Cardiac Syndrome. Is it (and why wouldn’t it be) likely that a patient with past cardiac history could now be medically safe and physiologically resolved (all clinical-level vital signs AND cardiac performance tests + imaging), yet now has a dysfunctional sense of cardiac stress, being more easily provoked into a level of symptoms that causes him distress to the level that he is concerned about his cardiovascular status?