Abstract 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.

中文翻译：

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士兵的心脏：被遗忘的循环神经衰弱——系统评价

摘要 士兵心脏 (SH) 是一种以前的医学诊断，现在很少提及，以其他几个名称出现。考虑到关于从 DSM-5 中删除士兵心脏诊断的争议，本研究旨在进行系统评价以评估其在临床实践中的使用。在系统地检索文献后，从 19 项研究中收集了有关诊断、军事压力、心率变异性、治疗和预后的信息。考虑到士兵心脏诊断缺乏充分利用以及与其他疾病的诊断重叠，本系统评价支持将士兵心脏纳入创伤后应激障碍 (PTSD) 的范畴。该提议也符合以下概念：身体症状是通常与广泛性焦虑症和 PTSD 相关的相关特征。此外，还将描述 SH 中心脏合并症的较高患病率和可能的心脏后果。基于苯二氮卓类和 β 受体阻滞剂的药物疗法以及生物反馈和正念技术被认为是有用的治疗选择。需要进一步研究以更好地定义该综合征的精神病理学领域和可能的新治疗目标。以及生物反馈和正念技术被认为是有用的治疗选择。需要进一步的研究来更好地定义这种综合征的精神病理学领域和可能的新治疗目标。以及生物反馈和正念技术被认为是有用的治疗选择。需要进一步研究以更好地定义该综合征的精神病理学领域和可能的新治疗目标。