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Hyperventilation-Induced Syncope: No Need to Panic

Department of Internal Medicine, Marshfield Clinic, Marshfield, Wisconsin

Steven H. Yale, MD

Department of Internal Medicine, Marshfield Clinic, Marshfield, Wisconsin

Humberto J. Vidaillet, MD

Department of Cardiology, Marshfield Clinic, Marshfield, Wisconsin

REPRINT REQUESTS: Steven Yale, MD, Department of Internal Medicine, Marshfield Clinic, 1000 North Oak Avenue, Marshfield, WI 54449, Telephone: 715-387-5436, Fax: 715-389-3808, Email: yale.steven{at}marshfieldclinic.org

Accurately diagnosing and treating adult patients presenting with recurrent syncope can be extremely problematic. We present the case of a patient who presented with recurrent syncope. We propose that many cases currently classified as idiopathic may in fact be due to orthostatic hypotension secondary to hyperventilation, or simply hyperventilation-induced syncope. The presence of undiagnosed psychiatric disorders should be considered in these patients.

Key Words: Recurrent syncope • Vasovagal hypersensitivity • Orthostatic hypotension • Panic disorder • High salt diet

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