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Tge more I read of others' experiences the more I believe we all have different triggers, and certainly different symptoms during the attack. I think one of my problems is dehydration (and actually that's the only hint the cardiologist gave me--I thought it strange he wouldn't have more suggestions). But one thing for sure for me is careful breathing when I begin to get "that feeling" of an attack. I was a Lamaze teacher and I've used the breathing for other situations, but I think in this case it allows more oxygen to get to my brain and has preventing me from actually fainting. But I still find it the most frightening physical experience I've ever had, even though there is no pain nor nausea. Just the feeling of my life pouring out of me!