sˈɪmɪlɚɹ æŋzˈaɪəɾiz ɪn ðoʊz hˌuː ɛkspˈiəɹɪəns ðə sˈɪndɹoʊm ˌɔn ɐ ɹˈɛɡjʊlɚ bˈeɪsɪs mˈeɪ mˈænɪfˌɛst æz ɐ wˈʌɹi ʌvðə sˈɪndɹoʊm ɪtsˈɛlf hˈæpənɪŋ, wɪð pˈeɪʃənts fˈiːlɪŋ skˈɛɹd tə tˈeɪk fˈʊlɚ bɹˈɛθs ɪn fˈɪɹ ʌv tɹˈɪɡɚɹɪŋ ɐ spˈɛl.
Similar anxieties in those who experience the syndrome on a regular basis may manifest as a worry of the syndrome itself happening, with patients feeling scared to take fuller breaths in fear of triggering a spell.