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Hyperventilation SyndromeA Brief Review
Jose C. Missri, MD;
Sidney Alexander, MD
JAMA. 1978;240(19):2093-2096.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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THE HYPERVENTILATION syndrome is a common, often disabling, and frequently inadequately treated clinical problem. Diagnosis is often missed, perhaps because physicians are not sufficiently aware of it or because patients rarely demonstrate the classic textbook picture of obvious overbreathing, paresthesia, and tetany. More commonly, symptoms are subtle and often mimic those of other clinical conditions, either organic or functional. Indeed, many patients with this affliction wander from one physician to another either vainly undergoing increasingly complex diagnostic procedures or being dismissed as anxious or neurotic.
The purpose of this brief review is to emphasize the clinical importance of this syndrome, its common clinical signs and symptoms, and its metabolic and physiologic consequences, and to define effective management.
DEFINITION AND INCIDENCE
Hyperventilation is defined as ventilation in excess of that required to maintain normal blood Pao2 and Paco2. It may be produced either by an increase in frequency or
. . . [Full Text PDF of this Article]
Author Affiliations
From the Section of Cardiovascular Medicine, New England Deaconess Hospital (Drs Missri and Alexander) and Lahey Clinic Foundation (Dr Alexander), Boston.
Footnotes
Reprint requests to Section of Cardiovascular Medicine, Lahey Clinic Foundation, 605 Commonwealth Ave, Boston, MA 02215 (Dr Alexander).
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