Cited by 38Asthma and respiratory diseasesRespiratory and Cough-Related ResearchPsychosomatic Disorders and Their Treatments

Disproportionate Breathlessness Associated With Deep Sighing Breathing in a Patient Presenting With Difficult-To-Treat Asthma

Prys-Picard, Curig O., Kellett, Fiona, Niven, Robert M.·2006·Chest

Abstract

Disproportionate breathlessness is a term that is used synonymously with dysfunctional breathing and idiopathic hyperventilation in the absence of chest disease. In the presence of chest disease, it may not be possible to use these three terms interchangeably. We report a case of a patient with documented asthma but breathlessness that was out of proportion to the measured lung function or exercise tolerance. The breathing pattern was abnormal and was characterized by the need to take frequent deep sighs, which increased in frequency during incremental exercise, despite increasing respiratory rate and tidal volume. Treatment with physiotherapist-led breathing retraining resulted in an improvement in the sigh rate and breathlessness scores. Disproportionate breathlessness and deep sighing breathing are part of the spectrum of conditions that comprise dysfunctional breathing and can cause symptoms that may be wrongly attributed to asthma.

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Registry

Crossref · 10.1378/chest.130.6.1723

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5 of 5 references verified0 citation errors · 0 not checkable

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  • Breathlessness may manifest as hyperventilation, or symptoms that occur independently of hypocapnia and respiratory alkalosis such as deep sighing or the sensation of air hunger.

    “Breathlessness may manifest as hyperventilation, or symptoms that occur independently of hypocapnia and respiratory alkalosis such as deep sighing or the sensation of air hunger [2, 8, 9].”
  • Periodic deep sighing is linked to asthma and panic disorder.

    “| Periodic deep sighing | 12 | [8, 9, 45–47] | Asthma Panic disorder |”

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Authors
Prys-Picard, C. O., Kellett, F., & Niven, R. M.
Affiliations
Wythenshawe Hospital (GB)
Corresponding author
Prys-Picard, Curig O.
Venue
Chest
Publisher
Elsevier BV
Published
2006-12
Volume
130
Issue
6
Pages
1723-1725
ISSN
0012-3692 (ISSN-L)
OpenAlex
W2143416516
Cited by
38
References
5
Citations by year
2025: 4 · 2024: 1 · 2023: 2 · 2022: 5 · 2021: 4 · 2020: 1 · 2019: 2 · 2018: 1 · 2017: 1 · 2016: 2 · 2015: 1 · 2014: 3 · 2013: 2 · 2012: 1
FWCI
0.66
Type
journal article
Language
en
Open access
closed
Locations
  • CHEST Journal (publishedVersion)
  • PubMed (publishedVersion)
  • Research Explorer (The University of Manchester) (publishedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory and Cough-Related Research
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Keywords
dysfunctional breathing, difficult-to-treat asthma, breathing retraining, physiotherapy, tidal volume, respiratory rate
MeSH terms
Adult, Asthma, Breathing Exercises, Diagnosis, Differential, Dyspnea, Exercise Test, Female, Forced Expiratory Volume, Humans, Hyperventilation, Occupational Diseases, Plethysmography, Respiratory Sounds, Tidal Volume, Vital Capacity, Physical Therapy Modalities

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