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001-es BibID:	BIBFORM034424
035-os BibID:	PMID:17713689
Első szerző:	Sikter András
Cím:	The role of hyperventilation : hypocapnia in the pathomechanism of panic disorder / Andras Sikter, Ede Frecska, Ivan Mario Braun, Xenia Gonda, Zoltan Rihmer
Dátum:	2007
Megjegyzések:	The authors present a profile of panic disorder based on and generalized from the effects of acute and chronic hyperventilation that are characteristic of the respiratory panic disorder subtype. The review presented attempts to integrate three premises: hyperventilation is a physiological response to hypercapnia; hyperventilation can induce panic attacks; chronic hyperventilation is a protective mechanism against panic attacks. A selective review of the literature was made using the Medline database. Reports of the interrelationships among panic disorder, hyperventilation, acidosis, and alkalosis, as well as catecholamine release and sensitivity, were selected. The findings were structured into an integrated model. The panic attacks experienced by individuals with panic disorder develop on the basis of metabolic acidosis, which is a compensatory response to chronic hyperventilation. The attacks are triggered by a sudden increase in (pCO2) when the latent (metabolic) acidosis manifests as hypercapnic acidosis. The acidotic condition induces catecholamine release. Sympathicotonia cannot arise during the hypercapnic phase, since low pH decreases catecholamine sensitivity. Catecholamines can provoke panic when hyperventilation causes the hypercapnia to switch to hypocapnic alkalosis (overcompensation) and catecholamine sensitivity begins to increase. Therapeutic approaches should address long-term regulation of the respiratory pattern and elimination of metabolic acidosis.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk egyetemen (Magyarországon) készült közlemény
Megjelenés:	Revista Brasileira de Psiquiatria. - 29 : 4 (2007), p. 375-379. -
További szerzők:	Frecska Ede (1953-) (pszichiáter) Braun, Ivan Mario Gonda Xénia Rihmer Zoltán
Internet cím:	Intézményi repozitóriumban (DEA) tárolt változat
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