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Immersion pulmonary oedema in a triathlete – a diagnostic challenge in sports cardiology Cover

Immersion pulmonary oedema in a triathlete – a diagnostic challenge in sports cardiology

Journal of Ultrasonography
Volume 21 (2021): Issue 86 (August 2021)
By: Anna Sobieszek,  Marcin Konopka,  Marek Cacko,  Marek Kuch and  Wojciech Braksator  
Open Access
|Sep 2021

Figures & Tables

Fig. 1.

Chest radiography findings at three different time points during the period of patient care. A. Examination performed in the emergency department (Day 0) – marked parenchymal changes involving the middle and lower lung fields. B. Another day of hospitalisation (Day 3) – clear regression of parenchymal lesions. C. Long-term evaluation after the original incident (Day 30) – complete resolution of parenchymal lesions
Chest radiography findings at three different time points during the period of patient care. A. Examination performed in the emergency department (Day 0) – marked parenchymal changes involving the middle and lower lung fields. B. Another day of hospitalisation (Day 3) – clear regression of parenchymal lesions. C. Long-term evaluation after the original incident (Day 30) – complete resolution of parenchymal lesions

Fig. 2.

Chest CT scan dedicated to the assessment of pulmonary parenchyma – high-resolution computed tomography (HRCT) (A). Comparative concurrent lung ultrasound examination performed with a linear transducer (B, C). A. CT scan revealing extensive ground-glass parenchymal opacities. B, C. Lung ultrasound showing diffuse B-lines. The red arrowhead shows the approximate location where the linear was applied. A clear correlation is seen between B-lines and ground-glass opacities
Chest CT scan dedicated to the assessment of pulmonary parenchyma – high-resolution computed tomography (HRCT) (A). Comparative concurrent lung ultrasound examination performed with a linear transducer (B, C). A. CT scan revealing extensive ground-glass parenchymal opacities. B, C. Lung ultrasound showing diffuse B-lines. The red arrowhead shows the approximate location where the linear was applied. A clear correlation is seen between B-lines and ground-glass opacities

Fig. 3.

Echocardiographic evaluation. A, C. Evaluation of the right and left ventricular relations at different time points during the period of patient care; a marked change in the ratio between the right and the left ventricle areas (RVS/LVA) over several days of follow-up (Day 1 vs Day 30) is noted. B, D. Assessment of right ventricular systolic function by tracking acoustic markers; compared to the baseline image (Day 0), there is a marked improvement in right ventricular free-wall longitudinal strain (Day 30). RV – right ventricle; LV – left ventricle; RVA – right ventricle area; LVA – left ventricle area
Echocardiographic evaluation. A, C. Evaluation of the right and left ventricular relations at different time points during the period of patient care; a marked change in the ratio between the right and the left ventricle areas (RVS/LVA) over several days of follow-up (Day 1 vs Day 30) is noted. B, D. Assessment of right ventricular systolic function by tracking acoustic markers; compared to the baseline image (Day 0), there is a marked improvement in right ventricular free-wall longitudinal strain (Day 30). RV – right ventricle; LV – left ventricle; RVA – right ventricle area; LVA – left ventricle area

Fig. 4.

Assessment of myocardial perfusion by SPECT – rest and stress tests showing no significant ischaemia. Top bar: stress–rest cross-section images in the short axis; middle bar: stress–rest horizontal cross-section images in the long axis; bottom bar: stress–rest vertical cross-section images in the short axis. SA – short axis, VLA – vertical long axis, HLA – horizontal long axis
Assessment of myocardial perfusion by SPECT – rest and stress tests showing no significant ischaemia. Top bar: stress–rest cross-section images in the short axis; middle bar: stress–rest horizontal cross-section images in the long axis; bottom bar: stress–rest vertical cross-section images in the short axis. SA – short axis, VLA – vertical long axis, HLA – horizontal long axis

Fig. 5.

Cardiac imaging using 99mTc-methoxy-isobutyl-isonitrile; 3D-Gated display. A. At stress. B. At rest. C. No difference between rest and stress tests
Cardiac imaging using 99mTc-methoxy-isobutyl-isonitrile; 3D-Gated display. A. At stress. B. At rest. C. No difference between rest and stress tests
DOI: https://doi.org/10.15557/jou.2021.0041 | Journal eISSN: 2451-070X | Journal ISSN: 2084-8404
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Language: English
Page range: 252 - 257
Submitted on: Mar 4, 2021
Accepted on: Mar 31, 2021
Published on: Sep 9, 2021
Published by: MEDICAL COMMUNICATIONS Sp. z o.o.
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
immersion pulmonary oedema,
swimming-induced pulmonary oedema,
triathlon,
dyspnoea,
sildenafil
Related subjects:
Medicine,
Basic medical science,
Basic medical science, other

© 2021 Anna Sobieszek, Marcin Konopka, Marek Cacko, Marek Kuch, Wojciech Braksator, published by MEDICAL COMMUNICATIONS Sp. z o.o.
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

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