Diving and patent foramen ovale: Time for a change in fitness to dive certifications?

Clinical Journal of Sport Medicine

Volumn 15, Issue 4, 2005, Pages 203-205

  Lier, Heiko ^a   Hering, Rudolf ^b   Schroeder, Stefan ^c  

^a UNIVERSITY OF BONN   (Germany)

^b Kreiskrankenhaus Mechernich ^*  (Germany)

^c Academic Teaching Hospital of the Universities of Kiel   (Germany)

Author keywords

[No Author keywords available]

Indexed keywords

BRAIN INJURY; COST BENEFIT ANALYSIS; DECOMPRESSION SICKNESS; DIVING; EDITORIAL; HEART ATRIUM SEPTUM DEFECT; HEART RIGHT LEFT SHUNT; HUMAN; INTERVENTIONAL CARDIOVASCULAR PROCEDURE; MANDATORY TESTING; OCCUPATIONAL ACCIDENT; PRIORITY JOURNAL; PROVOCATION TEST; RECREATION; TRANSESOPHAGEAL ECHOCARDIOGRAPHY;

EID: 22944443239     PISSN: 1050642X     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Editorial

References (19)

1. Lier H, Schroder S, Hering R. [Patent foramen ovale: an underrated risk for divers?] Dtsch Med Wochenschr. 2004;129:27-30.
2. Plafki C, Peters P, Steffen R. [Fitness for diving, diving accidents and diving-related illnesses: an overview.] Dtsch Med Wochenschr. 2000; 125:1301-1306.
3. Schroder S, Lier H, Wiese S. [Diving accidents: emergency treatment of serious diving accidents.] Anaesthesist. 2004;53:1093-1102.
4. Germonpre P, Dendale P, Unger P, et al. Patent foramen ovale and decompression sickness in sport divers. J Appl Physiol. 1998;84:1622-1626.
5. Gerriets T, Tetzlaff MD, Liceni T, et al. Arteriovenous bubbles following cold water sport dives: relation to right-to-left shunting. Neurology. 2000; 55:1741-1743.
6. Caruso J. Cardiovascular Fitness and Diving. Available at: http://www. diversalertnetwork.org/medical/articles/article.asp?articleid=11. Accessed January 31, 2004.
7. Knauth M, Ries S, Pohlmann S, et al. Cohort study of multiple brain lesions in sport divers: role of a patent foramen ovale. BMJ. 1997; 314:701-705.
8. Wilmshurst PT, Ellis BG, Jenkins BS. Paradoxical gas embolism in a scuba diver with an atrial septal defect. BMJ Clin Res Ed. 1986;293:1277.
9. Moon RE, Camporesi EM, Kisslo JA, Patent foramen ovale and decompression sickness in divers. Lancet. 1989;1:513-514.
10. Schwerzmann M, Seiler C, Lipp E, et al. Relation between directly detected patent foramen ovale and ischemic brain lesions in sport divers. Ann Intern Med. 2001;134:21-24.
11. Bove AA. Risk of decompression sickness with patent foramen ovale. Undersea Hyperb Med. 1998;25:175-178.
12. Cantais E, Louge P, Suppini A, et al. Right-to-left shunt and risk of decompression illness with cochleovestibular and cerebral symptoms in divers: case control study in 101 consecutive dive accidents. Crit Care Med. 2003;31:84-88.
13. Kerr AJ, Buck T, Chia K, et al. Transmitral Doppler: a new transthoracic contrast method for patent foramen ovale detection and quantification. J Am Coll Cardiol. 2000;36:1959-1966.
14. Schwerzmann M, Seiler C. Recreational scuba diving, patent foramen ovale and their associated risks. Swiss Med Wkly. 2001;131:365-374.
15. Droste DR, Freund M, Wichter T, et al. [Paradoxical brain embolization as a cause of stroke.] Dtsch Aerztebl. 2002;99:A281-A291.
16. Stendel R, Gramm HJ, Schröder K, et al. Transcranial doppler ultrasonography as a screening technique for detection of a patent foramen ovale before surgery in the sitting position. Anesthesiology. 2000;93:971-975.
17. Kuhl HP, Hoffmann R, Merx MW, et al. Transthoracic echocardiography using second harmonic imaging: diagnostic alternative to transesophageal echocardiography for the detection of atrial right to left shunt in patients with cerebral embolic events. J Am Coll Cardiol. 1999; 34:1823-1830.
18. European Diving Technology Committee. Fitness to Dive Standard. Available at: http://www.edtc.org/EDTC-Fitnesstodivestandard-2003.pdf. Accessed February 1, 2004.
19. Meier B, Lock JE. Contemporary management of patent foramen ovale. Circulation. 2003;107:5-7.