ABSTRACT

Metabolic disturbances Few Acute hypocalcaemia, hypokalaemia, respiratory alkalosis

Investigations TFTs, ECG, 24-hour urine catecholamines

Rule out PE with d-dimer and CTPA

Management Pharmacotherapy Relaxation techniques and breathing exercises

MANAGEMENT

= Self-help and monitoring in primary care: = exercise for good general health; = bibliotherapy; = support groups.