Another possibility, which I have seen in the past. It has nothing to to with the the regulator itself:
Debris from the cylinder can partially block the dip tube of the valve. On aluminium cylinders a big ball of aluminium-oxide greater than 3cm in diameter can easily develop. On steel cylinders like ECS, the base metal does not form a powder, but big flakes of rust, very thin and a good 3cm long.
If a diver goes down head first or does a overambitious back roll, this debris can fall on to the dip tube, partially blocking it. As there is no imbalance between the cylinder and the inside of the valve until a diver inhales, the debris can just sit loosely lodged in the tube. Breathing becomes harder as the diver empties the air from inside the regulator and hoses, while some air may bleed past the partially blocked tube. If the pressure imbalance gets high enough, the debris may get dislodged and usually broken up into smaller pieces, allowing more or less normal breathing.
Chances of this are very low. I thought the first time I have seen it happen it's a one in a billion chance, but it did happen again at a later stage. It of course has nothing to do with you using the pre-dive switch. In a situation like this, the person usually abruptly moves his body, which may also help to dislodge whatever is in there.
As I could not believe it after I have seen it for the first time, I experimented with an old ECS cylinder in the workshop and sure enough, if the bottle is flipped as in a fast back-roll, this can happen.
Without the cylinder turning upside down at some stage, this is impossible to happen, as the air would not suck the debris up the cylinder.