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Moon RE. Swimming-Induced Pulmonary Edema: Imperative to Follow Up. Chest 2023; 164:1077-1078. [PMID: 37945188 DOI: 10.1016/j.chest.2023.08.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2023] [Accepted: 08/09/2023] [Indexed: 11/12/2023] Open
Affiliation(s)
- Richard E Moon
- Department of Anesthesiology; Department of Medicine, Division of Pulmonary, Allergy, and Critical Care Medicine, Duke University Medical Center, Durham, NC.
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Oldman J, Morwood S, Willis J, Augustine DX. Myocardial oedema in the setting of immersion pulmonary oedema - Cause or effect? BMJ Case Rep 2023; 16:16/1/e251274. [PMID: 36623912 PMCID: PMC9896232 DOI: 10.1136/bcr-2022-251274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023] Open
Abstract
Immersion pulmonary oedema (IPE) is an under-reported and poorly understood phenomenon thought to be related to exercise-induced haemodynamic changes while submersed in water. Previous work has demonstrated reversible myocardial dysfunction during acute episodes. We present a case of IPE with concomitant, transient, left ventricular myocardial oedema characterised via MRI. This is a novel finding and may be evidence of left ventricular strain due to pressure overload or secondary to a subclinical myocarditis.
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Affiliation(s)
- James Oldman
- Cardiology, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK
| | - Sarah Morwood
- Cardiology, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK
| | - James Willis
- Cardiology, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK
| | - Daniel Xavier Augustine
- Cardiology, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK,University of Bath, Bath, Bath and North East Somerset, UK
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Global longitudinal strain assessment of cardiac function and extravascular lung water formation after diving using semi-closed circuit rebreather. Eur J Appl Physiol 2022; 122:945-954. [DOI: 10.1007/s00421-022-04887-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2021] [Accepted: 01/06/2022] [Indexed: 11/26/2022]
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Sadler C, Alvarez Villela M, Van Hoesen K, Grover I, Lang M, Neuman T, Lindholm P. Diving after SARS-CoV-2 (COVID-19) infection: Fitness to dive assessment and medical guidance. Diving Hyperb Med 2020; 50:278-287. [PMID: 32957131 DOI: 10.28920/dhm50.3.278-287] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Accepted: 07/14/2020] [Indexed: 01/19/2023]
Abstract
Scuba diving is a critical activity for commercial industry, military activities, research, and public safety, as well as a passion for many recreational divers. Physicians are expected to provide return-to-diving recommendations after SARS-CoV-2 (COVID-19) infection based upon the best available evidence, often drawn from experience with other, similar diseases. Scuba diving presents unique physiologic challenges to the body secondary to immersion, increased pressure and increased work of breathing. The long-term sequelae of COVID-19 are still unknown, but if they are proven to be similar to other coronaviruses (such as Middle East respiratory syndrome or SARS-CoV-1) they may result in long-term pulmonary and cardiac sequelae that impact divers' ability to safely return to scuba diving. This review considers available literature and the pathophysiology of COVID-19 as it relates to diving fitness, including current recommendations for similar illnesses, and proposes guidelines for evaluation of divers after COVID-19. The guidelines are based upon best available evidence about COVID-19, as well as past experience with determination of diving fitness. It is likely that all divers who have contracted COVID-19 will require a medical evaluation prior to return to diving with emphasis upon pulmonary and cardiac function as well as exercise capacity.
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Affiliation(s)
- Charlotte Sadler
- Department of Emergency Medicine, School of Medicine, Division of Hyperbaric Medicine, University of California, San Diego, California, USA.,Corresponding author: Dr Charlotte Sadler, Department of Emergency Medicine, Division of Hyperbaric Medicine, School of Medicine, University of California, San Diego, California, USA,
| | - Miguel Alvarez Villela
- Montefiore Medical Center/Albert Einstein College of Medicine, Department of Medicine, Division of Cardiology, Bronx, NY, USA
| | - Karen Van Hoesen
- Department of Emergency Medicine, School of Medicine, Division of Hyperbaric Medicine, University of California, San Diego, California, USA
| | - Ian Grover
- Department of Emergency Medicine, School of Medicine, Division of Hyperbaric Medicine, University of California, San Diego, California, USA
| | - Michael Lang
- Department of Emergency Medicine, School of Medicine, Division of Hyperbaric Medicine, University of California, San Diego, California, USA
| | - Tom Neuman
- Department of Emergency Medicine, School of Medicine, Division of Hyperbaric Medicine, University of California, San Diego, California, USA
| | - Peter Lindholm
- Department of Emergency Medicine, School of Medicine, Division of Hyperbaric Medicine, University of California, San Diego, California, USA
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