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Effort syndrome: hyperventilation & reduction of anaerobic threshold

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Source: Biofeedback & Self Regulation 1994 Jun;19(2):155-69

Effort syndrome is an entity in danger of being subsumed into

“chronic fatigue syndrome” and lost to sight. Its distinctive

feature is the reduction of the anaerobic threshold for work

by depletion of the body’s alkaline buffering systems through

hyperventilation. This article describes the history and

clinical features of effort syndrome and reports a study in

which capnography is used to identify the anaerobic threshold

by registering the respiratory response to the onset of

metabolic acidosis. The patients’ thresholds are low, and

provide a goal for rehabilitation. In other forms of chronic

fatigue syndrome, the pathogenesis and logic of therapy are

unclear.

Nixon PG

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