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Hyperventilation: cause or effect?
A young person presenting with shortness of breath is common to the accident and emergency department. Usually this hyperventilation is anxiety related or a panic attack, but sometimes it can be caused by a serious underlying condition like pulmonary embolus. Acute shortness of breath in any patient...
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Published in: | Emergency medicine journal : EMJ 2000-09, Vol.17 (5), p.376-377 |
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container_title | Emergency medicine journal : EMJ |
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creator | Mehta, T A Sutherland, J G Hodgkinson, D W |
description | A young person presenting with shortness of breath is common to the accident and emergency department. Usually this hyperventilation is anxiety related or a panic attack, but sometimes it can be caused by a serious underlying condition like pulmonary embolus. Acute shortness of breath in any patient should never be dismissed lightly. It is important to realise that pulmonary embolus can present without chest pain and with shortness of breath as the major symptom. Such patients can be distinguished by close attention to history and examination, risk factors for thromboembolic disease and the use of basic investigations (electrocardiogram, chest radiography and arterial blood gas analysis). A serious cause for shortness of breath must be excluded before labelling it as “hysteria” or “panic”. |
doi_str_mv | 10.1136/emj.17.5.376 |
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Usually this hyperventilation is anxiety related or a panic attack, but sometimes it can be caused by a serious underlying condition like pulmonary embolus. Acute shortness of breath in any patient should never be dismissed lightly. It is important to realise that pulmonary embolus can present without chest pain and with shortness of breath as the major symptom. Such patients can be distinguished by close attention to history and examination, risk factors for thromboembolic disease and the use of basic investigations (electrocardiogram, chest radiography and arterial blood gas analysis). A serious cause for shortness of breath must be excluded before labelling it as “hysteria” or “panic”.</description><subject>Acute Disease</subject><subject>Adult</subject><subject>Anxiety</subject><subject>Birth control</subject><subject>Case Report</subject><subject>Diagnosis, Differential</subject><subject>Embolisms</subject><subject>Emergency medical care</subject><subject>Family medical history</subject><subject>Family physicians</subject><subject>Female</subject><subject>Hospitals</subject><subject>Humans</subject><subject>hyperventilation</subject><subject>Hyperventilation - etiology</subject><subject>Hypoxia</subject><subject>Pain</subject><subject>Pulmonary Embolism - complications</subject><subject>Pulmonary Embolism - diagnosis</subject><subject>Surgery</subject><subject>Thromboembolism</subject><subject>Ventilation</subject><issn>1351-0622</issn><issn>1472-0205</issn><issn>1472-0213</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><recordid>eNp9kMtP3DAQxq2qqDzaG2e0KhJcyNaveBIOILRioRJqpapw4GI5yRiyzSaLnazgv--gXfHooRePpfnNN998jO0KPhZCmW84n40FjNOxAvOBbQkNMuFSqI_0V6lIuJFyk23HOOOcgxD8E9ukl6dawBb7evm0wLDEtq8b19ddezwq3RBx1IUReo9lf_qZbXjXRPyyrjvsenr-e3KZXP28-D45u0oKDVmf-IIrdJhrJ40HLTVUGRdaeg0iUxVKyPPKcK8qjT4vpTbaKFBVJQunDIDaYScr3cVQzLEqyVNwjV2Eeu7Ck-1cbd932vre3nVLK0CmOpUkcLAWCN3DgLG38zqW2DSuxW6IFqTMDJc5gfv_gLNuCC0dR1pkk7RyTtTRiipDF2NA_2JFcPscvaXoacCmlqInfO-t_Vd4nTUByQqoY4-PL30X_lgDClL742ZiL37xaTq9BZsRf7jiC1rz39V_ASCumRk</recordid><startdate>20000901</startdate><enddate>20000901</enddate><creator>Mehta, T A</creator><creator>Sutherland, J G</creator><creator>Hodgkinson, D W</creator><general>BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine</general><general>BMJ Publishing Group LTD</general><general>BMJ Group</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RQ</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>U9A</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20000901</creationdate><title>Hyperventilation: cause or effect?</title><author>Mehta, T A ; 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subjects | Acute Disease Adult Anxiety Birth control Case Report Diagnosis, Differential Embolisms Emergency medical care Family medical history Family physicians Female Hospitals Humans hyperventilation Hyperventilation - etiology Hypoxia Pain Pulmonary Embolism - complications Pulmonary Embolism - diagnosis Surgery Thromboembolism Ventilation |
title | Hyperventilation: cause or effect? |
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