Résumé
Le syndrome d’hyperventilation (SHV) s’intègre dans le cadre des dysfonctions ventilatoires. Le tableau clinique, notamment dans sa forme aiguë ou subaiguë, est souvent trompeur, pouvant simuler une urgence médicale. En partant de cas cliniques, l’article souligne la possibilité d’un diagnostic positif, la nécessité d’un bilan étiologique pour éliminer une pathologie organique justifiant un traitement spécifique et pour aider le kinésithérapeute dans l’adaptation de sa prise en charge, essentielle pour améliorer la qualité de vie des patients.
Abstract
Hyperventilation syndrome is considered as part of respiratory dysfunctions. Acute or subacute clinical presentations are often misleading, being considered as an emergency. Based on case reports, this article presents the positive diagnosis and the etiological assessment in order to eliminate any organic dysfunction that may require specific treatment, and to help the physical therapist adjusting the treatment plan which is essential to improve the patient’s quality of life.
Références
Peiffer C (1999) Mécanismes de la dyspnée: théories récentes et état de la question. Med Sci 15:857–62
Courtney R, Greenwood KM, Cohen M (2011) Relationships between measures of dysfunctional breathing in a population with concerns about their breathing. Mov Ther 15:24–34
Jones M, Harvey A, Marston L, O’Connell NE (2013) Breathing exercises for dysfunctional breathing/hyperventilation syndrome in adults. Cochrane Database Syst Rev 5:CD009041
Gardner WN, Bass C (1989) Hyperventilation in clinical practice. Br J Hosp Med 41:73–81
Saisch SGN, Wessely S, Gardner WN (1996) Patients with acute hyperventilation presenting to an inne-city emergency department. Chest 110:952–7
Burri E, Potocki M, Drexler B, et al (2011) Value of arterial blood gas analysis in patients with acute dyspnea: an observational study. Crit Care 15:R145
Pelissolo A (2003) Spasmophilie, tétanie et hyperventilation psychogène. ConfMed SFMU 5:15–22
Tchenik AE (1991) Functional laryngeal obstruction relieved by panting. Chest 100:1465–7
Gardner WN (1996) The pathophysiology of hyperventilation disorders. Chest 109:516–34
O’Sullivan G, Harvey I, Bass C, et al (1992) Psychophysiological investigations of patients with unilateral symptoms in the hyperventilation syndrome. Br J Psychiatry 160:664–7
Lachman A, Gielis O, Thys P, et al (1992) Syndrome d’hyperventilation: mise au point. Rev Mal Resp 9:277–85
Thomas M, McKinley RK, Freeman E, et al (2003) Breathing retraining for dysfunctional breathing in asthma. Thorax 58:110–5
Thomas M, McKinley RK, Freeman E, et al (2005) The prevalence of dysfunctional breathing in adults in the community with and without asthma. Primary Care Respiratory Journal 14:78–82
Martinez-Moragon E, Perpina M, Belloch A, De Diego A (2005) Prevalence of hyperventilation syndrome in patients treated for asthma in a pulmonology clinic. Arch Bronconeumol 41:267–71
Gardner WN (2004) Hyperventilation. Am J Respir Crit Care Med 170:105–6
Van Der Molen G, Schoutrop M, De Ruiter C (1990) The validity of the Nijmegen questionnaire for diagnosing hyperventilation syndrome. Personnal communication
Van Dixhoorn J, Duivenvoorden HJ (1985) Efficacy of Nijmegen questionnaire in recognition of the hyperventilation syndrome. J Psychosom Res 29:199–206
Raichle ME, Plum F (1972) Hyperventilation and cerebral blood flow. Stroke 3:566–75
Tavel ME (1990) Hyperventilation syndrome: hiding behind pseudonyms? Chest 97:1285–8
Orr-Walker BJ, Horne AM, Evans MC (1999) Hormone replacement therapy causes a respiratory alkalosis in normal postmenopausal women. J Clin Endocrinol Metab 84:1997–2001
Pevernagie D, Mariman A, Vandenbussche N, et al (2012) Behavioural hyperventilation as a novel clinical condition associated with central sleep apnoea: a report of three cases. Sleep Med 13:1317–20
Sauty A, Prosper M (2008) Le syndrome d’hyperventilation. Rev Med Suisse 4:2500–5
Zucher JP, Paoletti M, Berney JL (2009) Un syndrome d’hyperventilation non psychogène. Forum Med Suisse 9:361–2
Sikter A, Frecska E, Braun IM, et al (2007) The role of hyperventilation: hypocapnia in the pathomecanism of panic disorder. Rev Bras Psiquiatr 29:375–9
O’Malley GF (2007) Emergency department management of the salicylate-poisoned patient. Emerg Med Clin North Am 25:333–46
Sattar SP, Gastfriend DR (2002) Olanzapine-induced hyperventilation: case report. J Psychiatry Neurosci 27:360–3
Simpson FG (1995) Hyperventilation induced by medroxyprogesterone. Med J Austr 163:51
Dubreuil C, Prosper M (2000) Le syndrome d’hyperventilation. Ann Kinesither 27:125–31
Lachman A, Gielis O, Thys P, et al (1992) Syndrome d’hyperventilation: mise au point. Rev Mal Resp 9:277–85
Dudley DL, Martin CJ, Holmes TH (1964) Psychophysiologic studies of pulmonary ventilation. Psychosom Med 26:645–60
Spinhoven PH, Onstein EJ, Sterk PJ, Le Haen D (1992) The hyperventilation provocation test in panic disorder. Behav Res Ther 30:453–61
Willeput R, Dubreuil Cl, Prosper M, Pujet JC (2001) Syndrome d’hyperventilation: évaluation en deux sites de l’efficacité d’un programme de réhabilitation ventilatoire. Rev Mal Respir 18:417–25
Folgering H, Cox A (1981) Beta-blocker therapy with metoprolol in the hyperventilation syndrome. Respiration 41:33–8
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Dubreuil, C., Prosper, M. Le syndrome d’hyperventilation. Réanimation 23, 523–528 (2014). https://doi.org/10.1007/s13546-014-0909-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13546-014-0909-6