Hyperventilation Syndrome Differential Diagnoses
- Author: Brian Kern, MD; Chief Editor: Ryland P Byrd, Jr, MD more...
Particular care must be exercised when a diagnosis of hyperventilation syndrome (HVS) considering this diagnosis in an elderly person or a person with comorbid disease.
In addition to the conditions listed in the differential diagnosis (see below), other problems to be considered include the following:
- Acute respiratory distress syndrome (ARDS)
- Chronic nasal congestion
- Reduced alar nasal muscle activity
Acute Coronary Syndrome
Acute Respiratory Distress Syndrome
Central nervous system lesions
Chordae tendonae rupture
Interstitial lung diseases
Left ventricular dysfunction
Shu BC, Chang YY, Lee FY, et al. Parental attachment, premorbid personality, and mental health in young males with hyperventilation syndrome. Psychiatry Res. 2007 Oct 31. 153(2):163-70. [Medline].
Martinez JM, Kent JM, Coplan JD, et al. Respiratory variability in panic disorder. Depress Anxiety. 2001. 14(4):232-7. [Medline].
Bartley J. Nasal congestion and hyperventilation syndrome. Am J Rhinol. 2005 Nov-Dec. 19(6):607-11. [Medline].
Castro PF, Larrain G, Perez O, et al. Chronic hyperventilation syndrome associated with syncope and coronary vasospasm. Am J Med. 2000 Jul. 109(1):78-80. [Medline].
Ong JR, Hou SW, Shu HT, et al. Diagnostic pitfall: carbon monoxide poisoning mimicking hyperventilation syndrome. Am J Emerg Med. 2005 Nov. 23(7):903-4. [Medline].
Malmberg LP, Tamminen K, Sovijarvi AR. Orthostatic increase of respiratory gas exchange in hyperventilation syndrome. Thorax. 2000 Apr. 55(4):295-301. [Medline].
Gibson D, Bruton A, Lewith GT, et al. Effects of acupuncture as a treatment for hyperventilation syndrome: a pilot, randomized crossover trial. J Altern Complement Med. 2007 Jan-Feb. 13(1):39-46. [Medline].
Barker NJ, Jones M, O'Connell NE, Everard ML. Breathing exercises for dysfunctional breathing/hyperventilation syndrome in children. Cochrane Database Syst Rev. 2013 Dec 18. 12:CD010376. [Medline].
Chenivesse C, Similowski T, Bautin N, et al. Severely impaired health-related quality of life in chronic hyperventilation patients: exploratory data. Respir Med. 2014 Mar. 108(3):517-23. [Medline].
Jones M, Harvey A, Marston L, O'Connell NE. Breathing exercises for dysfunctional breathing/hyperventilation syndrome in adults. Cochrane Database Syst Rev. 2013 May 31. 5:CD009041. [Medline].
Nardi AE, Freire RC, Zin WA. Panic disorder and control of breathing. Respir Physiol Neurobiol. 2009 May 30. 167(1):133-43. [Medline].