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Hyperventilation is irregular breathing that occurs when the rate or tidal volume of breathing eliminates more carbon dioxide than the body can produce. [ 1 ] [ 2 ] [ 3 ] This leads to hypocapnia , a reduced concentration of carbon dioxide dissolved in the blood.
Hyperventilation syndrome (HVS), also known as chronic hyperventilation syndrome (CHVS), dysfunctional breathing hyperventilation syndrome, cryptotetany, [1] [2] spasmophilia, [3] [4] [5] latent tetany, [4] [5] and central neuronal hyper excitability syndrome (NHS), [3] is a respiratory disorder, psychologically or physiologically based, involving breathing too deeply or too rapidly ...
The main physiologic causes of hypocapnia are related to hyperventilation. Hypocapnia is sometimes induced in the treatment of medical emergencies such as intracranial hypertension [3] and hyperkalemia. Self-induced hypocapnia through hyperventilation is the basis for the dangerous schoolyard fainting game.
The aim in treatment is to detect the underlying cause. When PaCO2 is adjusted rapidly in individuals with chronic respiratory alkalosis, metabolic acidosis may occur. [ 3 ] If the individual is on a mechanical ventilator then preventing hyperventilation is done via monitoring ABG levels.
For the clinical diagnosis of CNH, it is essential that the symptoms, particularly respiratory alkalosis, persist while the patient is both awake and asleep. The presence of hyperventilation during sleep excludes any possible emotional or psychogenic causes for the sustained hyperventilation. [8]
Paroxysmal sympathetic hyperactivity (PSH) is a syndrome that causes episodes of increased activity of the sympathetic nervous system.Hyperactivity of the sympathetic nervous system can manifest as increased heart rate, increased respiration, increased blood pressure, diaphoresis, and hyperthermia. [1]
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Hyperpnea, on the other hand, is defined as breathing an increased volume of air, with or without an increase in respiration rate. [ 1 ] Others give another classification: tachypnea is as any rapid breathing, hyperventilation is increased rate of breathing at rest, hyperpnea is an increase in breathing that is appropriately proportional to an ...