[Severe hyperventilation as a differential diagnosis of acute coronary syndrome].
We report a case where a 30-year-old, otherwise healthy female was admitted to hospital with symptoms of hyperventilation, including chest discomfort and an abnormal ECG showing ST depressions and T-wave inversions. The ECG changes disappeared spontaneously during the next 24 hours as the patient was calmed down. A few weeks after discharge, the ECG changes were partially reproduced during a six-minute hyperventilation test. It is worth remembering that severe hyperventilation can cause ECG changes similar to those seen in acute coronary syndrome.
Feldskov
Thomas
T
Bispebjerg Hospital, Kardiologisk Afdeling Y. feldskov@mail.tele.dk
Gude
Anne-Bolette J
AB
Højgaard
Michael V
MV
D000208:Acute Disease; D000328:Adult; D003327:Coronary Disease / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005260:Female; D006801:Humans; D006985:Hyperventilation / Q000175:diagnosis*