Objective: The authors investigated the role of genetic factors in 35%
CO2-induced panic attacks. Method: Ninety twins recruited from the ge
neral population were challenged with one-vital-capacity inhalations o
f 35% CO2-65% O-2 Probandwise concordance rates were calculated and ra
tes compared for monozygotic and for dizygotic twins. Results: A signi
ficantly higher concordance was found for 35% CO2-induced panic attack
s among monozygotic than dizygotic twins (55.6% Versus 12.5%). Conclus
ions: These results suggest a relevant role of genetic factors in 35%
CO2-induced panic attacks.