A single open sea air dive increases pulmonary artery pressure and reduces right ventricular function in professional divers

European Journal of Applied Physiology

Volumn 97, Issue 4, 2006, Pages 478-485

  Dujić, Željko ^a   Obad, Ante ^a   Palada, Ivan ^a   Valic, Zoran ^a   Brubakk, Alf O ^b  

^a UNIVERSITY OF SPLIT   (Croatia)

^b NORWEGIAN UNIVERSITY OF SCIENCE AND TECHNOLOGY   (Norway)

Author keywords

Cardiac output; Diving; Gas bubbles; Professional; Pulmonary artery pressure

Indexed keywords

ADULT; ARTICLE; BLOOD PRESSURE MEASUREMENT; DIVER; DIVING; DOPPLER ECHOCARDIOGRAPHY; FLOW RATE; HEART FORAMEN OVALE; HEART OUTPUT; HEART RATE VARIABILITY; HEART RIGHT VENTRICLE EJECTION FRACTION; HEART RIGHT VENTRICLE FUNCTION; HEART RIGHT VENTRICLE OUTFLOW TRACT; HEART RIGHT VENTRICLE OVERLOAD; HEART STROKE VOLUME; HEART VENTRICLE EJECTION TIME; HEART VENTRICLE ENDDIASTOLIC PRESSURE; HUMAN; HUMAN EXPERIMENT; LUNG ARTERIOVENOUS SHUNT; LUNG ARTERY PRESSURE; LUNG VASCULAR RESISTANCE; NORMAL HUMAN; PATHOPHYSIOLOGY; PEAK EXPIRATORY FLOW; PRIORITY JOURNAL; SYSTOLIC BLOOD PRESSURE; VALSALVA MANEUVER; VASCULAR PATENCY;

ADULT; BLOOD PRESSURE; DIVING; ECHOCARDIOGRAPHY, DOPPLER; EMBOLISM, AIR; HUMANS; LUNG; PULMONARY ARTERY; TIME FACTORS; VALSALVA MANEUVER; VASCULAR RESISTANCE; VENTRICULAR DYSFUNCTION, RIGHT; VENTRICULAR FUNCTION, RIGHT;

EID: 33745299433     PISSN: 14396319     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00421-006-0203-z     Document Type: Article

References (37)

1. Abbas AE, Fortuin FD, Schiller NB, Appleton CP, Moreno CA, Lester SJ (2003) A simple method for noninvasive estimation of pulmonary vascular resistance. J Am Coll Cardiol 41:1021-1027
2. Arborelius M Jr, Ballidin UI, Lilja B, Lundgren CE (1972) Hemodynamic changes in man during immersion with the head above water. Aerosp Med 43:592-598
3. Balestra C, Germonpre P, Marroni A (1998) Intrathoracic pressure changes after Valsalva strain and other maneuvers: Implications for divers with patent foramen ovale. Undersea Hyperb Med 25:171-174
4. Behnke AR (1951) Decompression sickness following exposure to high pressures. In: Fulton JF (ed) Decompression sickness. Saunders, Philadelphia, pp 53-89
5. Bove AA, Hallenbeck JM, Elliott DH (1974) Circulatory responses to venous air embolism and decompression sickness in dogs. Undersea Biomed Res 1:207-220
6. Brubakk AO, Duplančić D, Valic Z, Palada I, Obad A, Baković D, Wisloff U, Dujić Ž (2005) A single air dive reduces arterial endothelial function in man. J Physiol 566:901-906
7. Butler BD, Conkin J, Luehr S (1989) Pulmonary hemodynamics, extravascular lung water and residual gas bubbles following low dose venous gas emboli. Aviat Space Environ Med 60:1178-1182
8. Butler BD, Robinson R, Little T, Chelly JE, Doursout MF (1996) Cardiopulmonary changes with moderate decompression in rats. Undersea Hyperb Med 23:83-89
9. Campana C, Pasotti M, Monti L, Revera M, Serio A, Nespoli L, Magrini G, Scelsi L, Ghio S, Tavazzi L (2004) The evaluation of right ventricular performance in different clinical models of heart failure. Eur Heart J 6: F61-F67
10. Diesel DD, Ryles MT, Pilmanis AA, Balldin UI (2002) Non-invasive measurement of pulmonary artery pressure in humans with simulated altitude-induced venous gas emboli. Aviat Space Environ Med 73:128-133
11. Douglas PS, Berman GO, O'Toole ML, Hiller WD, Reicher N (1989) Prevalence of multivalvular regurgitation in atheletes. Am J Cardiol 64:209-212
12. Dujić Ž Baković D, Marinović-Terzić I, Eterović D (2005a) Acute effects of single open-sea air dive and post-dive posture on cardiac output and pulmonary gas exchange in recreational divers. Br J Sports Med 39: E24
13. Dujić Ž Palada I, Obad A, Duplančić D, Baković D, Valic Z (2005b) Exercise during three minute decompression stop reduces postdive venous gas bubbles in the field diving. Med Sci Sports Exerc 37:1319-1323
14. Dujić Ž Palada I, Obad A, Duplančić D, Brubakk AO, Valic Z (2005c) Exercise-induced intrapulmonary shunting of venous gas emboli does not occur after open sea diving. J Appl Physiol 99:944-949
15. Eftedal O, Brubakk AO (1997) Agreement between trained and untrained observers in grading intravascular bubble signals in ultrasonic images. Undersea Hyperb Med 24:293-299
16. Eldridge MW, Dempsey JA, Havenkamp HC, Lovering AT, Hokanson JS (2004) Exercise-induced intrapulmonary arteriovenous shunting in healthy humans. J Appl Physiol 97:797-805
17. Flook V (1997) The effect of exercise on decompression bubbles. A theoretical study. In: Mekjavic IB, Tipton MJ, Eiken O (eds) Proceedings of the XXIII annual scientific meeting of the European Underwater and Baromedical Societ. Bled, Slovenia, pp 55-61
18. Kitabatake A, Inous A, Asao M, Masuyama T, Tanoucji J, Morita T, Mishima M, Uematsu M, Shizaku T, Hori M, Abe H (1983) Noninvasive evaluation of pulmonary hypertension by a pulsed Doppler technique. Circulation 68:302-309
19. Kerut EK, Norfleet WT, Plotnick GD, Giles TD (2001) Patent foramen ovale: A review of associated conditions and the impact of physiological size. J Am Coll Cardiol 38:613-623
20. Landmesser U, Drexler H (2005) The clinical significance of endothelial dysfunction. Curr Opin Cardiol 20:547-551
21. Malik AB (1983) Pulmonary microembolization. Physiol Rev 63:1114-1207
22. Marabotti C, Chiesa F, Scalzini A, Antonelli F, Lari R, Franchini C, Data PG (1999) Cardiac and humoral changes induced by recreational scuba diving. Undersea Hyperb Med 26:151-158
23. Meyer K, Bucking J (2004) Exercise in heart failure: Should aqua therapy and swimming be allowed? Med Sci Sports Exerc 36:2017-2023
24. Moon RE, Camporesi EM, Kisslo JA (1989) Patent foramen ovale and decompression sickness in divers. Lancet 1:513-514
25. Nishi RY (1990) Doppler evaluation of decompression tables. In: Lin YC, Shida KK (eds) Man in the sea. University of Hawaii Press, Honolulu, pp 297-316
26. Nishi R, Brubakk AO, Eftedal O (2003) Bubble detection. In: Brubakk AO, Neumann TS (eds) Bennet and Elliot's physiology and medicine of diving, 5th, ed W.B. Saunders, London, pp 501-529
27. Nossum V, Brubakk AO (1999) Endothelial damage by bubbles in the pulmonary artery of the pig. Undersea Hyperb Med 26:1-8
28. Nossum V, Hjelde A, Brubakk AO (2002) Small amounts of venous gas embolism cause delayed impairment of endothelial function and increase polymorphonuclear neutrophil infiltration. Eur J Appl Physiol 86:209-214
29. Pons M, Blickenstorfer D, Oechslin E, Hold G, Greminger P, Franzeck UK, Russi EW (1995) Pulmonary oedema in healthy persons during scuba-diving and swimming. Eur Respir J 8:762-767
30. Risch WD, Koubenec HJ, Beckmann U, Lange S, Gauer OH (1978) The effect of graded immersion on heart volume, central venous pressure, pulmonary blood distribution, and heart rate in man. Pflugers Arch 374:115-118
31. Singh JP, Evans JC, Levy D, Larson MG, Freed LA, Fuller DL, Lehman B, Benjamin EJ (1999) Prevalence and clinical determinants of mitral, tricuspid, and aortic regurgitation (the Framingham Heart Study). Am J Cardiol 83:897-902
32. US Navy diving manual (1996) Direction of Commander, Naval Sea System Command vol I (air diving)
33. Valic Z, Duplančić D, Baković D, Ivančev V, Eterović D, Wisøff U, Brubakk AO, Dujić Ž (2005) Diving-induced venous gas emboli do not change pulmonary artery pressure. Int J Sports Med 26:626-631
34. Vik A, Brubakk AO, Hennessy TR, Jenssen BM, Ekker M, Slordahl SA (1990) Venous air embolism in swine: Transport of gas bubbles through the pulmonary circulation. J Appl Physiol 69:237-244
35. Vik A, Jensen BM, Eftedal O, Brubakk AO (1993) Relationship between venous bubbles and hemodynamic responses after decompression in pigs. Undersea Hyperb Med 20:233-248
36. Yock PG, Popp RL (1984) Noninvasive estimation of right ventricular systolic pressure by Doppler ultrasound in patients with tricuspid regurgitation. Circulation 70:657-662
37. Wilmshurst PT, Byrne JC, Webb-Peploe MM (1989) Relation between interatrial shunts and decompression sickness in divers. Lancet 2:1302-1306