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. 2023 May;78(5-6):351-355.

[Dyspnea «sine materia»]

[Article in French]
Affiliations
  • PMID: 37350214

[Dyspnea «sine materia»]

[Article in French]
Renaud Louis et al. Rev Med Liege. 2023 May.

Abstract

Dyspnea is a symptom of respiratory discomfort commonly encountered in clinical practice which, in most of the cases, relates to a cardiopulmonary or a metabolic disorder. Its genesis is complex and results from numerous interactions within cortical and limbic brain areas following intero- and nociceptive stimuli. The term dyspnea «sine materia» points to a state where no clear underlying cardiopulmonary or metabolic pathology has been identified and we include here the hyperventilation syndrome and the physical deconditioning. Treatment of dyspnea «sine materia» is based on behavioural psychotherapy and on reathtletisation programme in case of physical deconditioning.

La dyspnée est un symptôme d’inconfort respiratoire extrêmement courant en médecine qui traduit, le plus souvent, un désordre cardiorespiratoire ou métabolique. Sa genèse est complexe et résulte de l’intégration, au niveau du cortex et du système limbique, de messages intéro- et nociceptifs. Par dyspnée «sine materia», nous entendons ici une dyspnée sans pathologie cardiorespiratoire ou métabolique sous-jacente avérée et nous y incluons celle du syndrome d’hyperventilation et du déconditionnement physique. La prise en charge de la dyspnée «sine materia» et, notamment, celle du syndrome d’hyperventilation repose sur la psychothérapie comportementale et la gestion du déconditionnement physique par des programmes de réathlétisation.

Keywords: Asthma; Dyspnea; Hyperventilation; Physical deconditioning.

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