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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 ...
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.
Treatments include a series of reduced-breathing exercises that focus on nasal-breathing, breath-holding and relaxation. Advocates of the Buteyko method claim that it can alleviate symptoms and reliance on medication for patients with asthma, chronic obstructive pulmonary disease (COPD), and chronic hyperventilation.
Central neurogenic hyperventilation (CNH) is an abnormal pattern of breathing characterized by deep and rapid breaths at a rate of at least 25 breaths per minute. Increasing irregularity of this respiratory rate generally is a sign that the patient will enter into coma .
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.
Symptoms of early hypercapnia (i.e. where PaCO 2 is elevated but not extremely so) include flushed skin, full pulse, extrasystoles, muscle twitches, hand flaps, and possibly a raised blood pressure. In severe hypercapnia (generally PaCO 2 greater than 10 kPa or 75 mmHg ), symptomatology progresses to disorientation, panic , hyperventilation ...
Acute respiratory acidosis occurs when an abrupt failure of ventilation occurs. This failure in ventilation may be caused by depression of the central respiratory center by cerebral disease or drugs, inability to ventilate adequately due to neuromuscular disease (e.g., myasthenia gravis, amyotrophic lateral sclerosis, Guillain–Barré syndrome, muscular dystrophy), or airway obstruction ...