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Clinical Applications of Breathing Regulation

Beyond Anxiety Management

Kaiser Permanente, Chronic Pain Management Program, San Francisco

Breathing training is widely used as an aid in reducing anxiety states, but several other applications also show promise. This article reviews evidence that normalizing breathing patterns may offer help in some cases of essential hypertension, angina, functional chest disorder, chronic obstructive pulmonary disease (COPD), and cardiac rehabilitation. Hyperventilation and hypo-ventilation, inhibited breathing, and breath suspension are all deviations from an optimal breathing pattern in which breathing volume is closely matched to metabolic needs. Such disordered breathing has varying effects on acid/base balance, arterial diameter, and sodium retention by the kidneys. Therefore, a chronic breathing imbalance can contribute to pathophysiology, which may be remediable to an extent by altering habitual breathing patterns.

Key Words: breathing • respiration • hyperventilation • hypoventilation • CO2 • cardiac rehabilitation • heart rate variability • hypertension • functional chest disorder • chronic obstructive pulmonary disease

Behavior Modification, Vol. 27, No. 5, 692-709 (2003)
DOI: 10.1177/0145445503256322


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