Asystole and increased serum myoglobin levels associated with 'packing blackout' in a competitive breath-hold diver

Clinical Physiology and Functional Imaging

Volumn 29, Issue 6, 2009, Pages 458-461

  Andersson, Johan P A ^a   Linér, Mats H ^a   Jönsson, Henrik ^a  

^a LUND UNIVERSITY   (Sweden)

Author keywords

Apnoea; Cardiac markers; Dysrhythmia; Glossopharyngeal insufflation; Hypotension; Syncope

Indexed keywords

BIOLOGICAL MARKER; CREATINE KINASE MB; MYOGLOBIN; TROPONIN T;

ADULT; AERATION; APNEA; ARTERIAL PRESSURE; ARTICLE; ASYSTOLE; BRAIN PERFUSION; BREATH HOLDING; CASE REPORT; DIASTOLE; DIVER; ELECTROCARDIOGRAM; HUMAN; HYPERVENTILATION; MALE; PRIORITY JOURNAL; PROTEIN BLOOD LEVEL; PULSE PRESSURE; SYSTOLE;

ARRHYTHMIAS, CARDIAC; DIVING; HUMANS; INSUFFLATION; MALE; MYOGLOBIN; RESPIRATORY MECHANICS; UNCONSCIOUSNESS; YOUNG ADULT;

EID: 70350401750     PISSN: 14750961     EISSN: 1475097X     Source Type: Journal    
DOI: 10.1111/j.1475-097X.2009.00892.x     Document Type: Article

References (20)

1. Andersson J, Schagatay E, Gustafsson P, Örnhagen H, Gennser M. Cardiovascular effects of " buccal pumping" in breath-hold divers. XXIV Annual Scientific Meeting of the European Underwater and Baromedical Society 1998, 103-106. In, ed, vol. FOA Report: FOA-B--98-00342--721--SE, pp, National Defence Research Establishment, Stockholm, Sweden
2. Andersson JPA, Linér MH, Jönsson H, Lindholm P, Pollock NW, Lundgren CEG. Increased levels of the brain damage marker S100B after apneas in competitive breath-hold divers. Breath-hold diving. Proceedings of the Undersea and Hyperbaric Medicine/Divers Alert Network 2006 June 20-21 Workshop 2006, 32-34. In, eds, pp, Divers Alert Network, Durham, NC
3. Christenson RH, Azzazy HM. Biochemical markers of the acute coronary syndromes. Clin Chem 1998, 44:1855-1864.
4. Fitz-Clarke JR. Adverse events in competitive breath-hold diving. Undersea Hyperb Med 2006, 33:55-62.
5. Hetland O, Dickstein K. Cardiac markers in the early hours of acute myocardial infarction: clinical performance of creatine kinase, creatine kinase MB isoenzyme (activity and mass concentration), creatine kinase MM and MB subform ratios, myoglobin and cardiac troponin T. Scand J Clin Lab Invest 1996, 56:701-713.
6. Jacobson FL, Loring SH, Ferrigno M. Pneumomediastinum after lung packing. Undersea Hyperb Med 2006, 33:313-316.
7. Krüger D, Sheikhzadeh A, Stierle U, Simon R. Clinical significance of myoglobin and troponin-T in short-lasting severe myocardial ischemia. Int J Cardiol 2005, 98:285-290.
8. Lindholm P. Loss of motor control and/or loss of consciousness during breath-hold competitions. Int J Sports Med 2007, 28:295-299.
9. Lindholm P, Nyren S. Studies on inspiratory and expiratory glossopharyngeal breathing in breath-hold divers employing magnetic resonance imaging and spirometry. Eur J Appl Physiol 2005, 94:646-651.
10. Lindholm P, Muth CM, Severinsen S. Neurological symptoms after glossopharyngeal insufflation (lungpacking) in breath-hold divers suggesting cerebral arterial gas embolism. Undersea Hyperb Med 2007, 34:280. (Abstract H285)
11. Lindholm P, Ekborn A, Öberg D, Gennser M. Pulmonary edema and hemoptysis after breath-hold diving at residual volume. J Appl Physiol 2008, 104:912-917.
12. Linér MH, Andersson JPA. Pulmonary edema after competitive breath-hold diving. J Appl Physiol 2008, 104:986-990.
13. Loring SH, O'Donnell CR, Butler JP, Lindholm P, Jacobson F, Ferrigno M. Transpulmonary pressures and lung mechanics with glossopharyngeal insufflation and exsufflation beyond normal lung volumes in competitive breath-hold divers. J Appl Physiol 2007, 102:841-846.
14. Novalija J, Lindholm P, Loring SH, Diaz E, Fox JA, Ferrigno M. Cardiovascular aspects of glossopharyngeal insufflation and exsufflation. Undersea Hyperb Med 2007, 34:415-423.
15. Overgaard K, Friis S, Pedersen RB, Lykkeboe G. Influence of lung volume, glossopharyngeal inhalation and PETO2 and PETCO2 on apnea performance in trained breath-hold divers. Eur J Appl Physiol 2006, 97:158-164.
16. Potkin RT, Uszler JM, Lindholm P, Pollock NW, Lundgren CEG. Brain function imaging in asymptomatic elite breath-hold divers. Breath-hold diving Proceedings of the Undersea and Hyperbaric Medicine/Divers Alert Network 2006 June 20-21 Workshop 2006, 135-136. In, eds, pp, Divers Alert Network, Durham, NC
17. Potkin R, Cheng V, Siegel R. Effects of glossopharyngeal insufflation on cardiac function: an echocardiographic study in elite breath-hold divers. J Appl Physiol 2007, 103:823-827.
18. Ridgway L, McFarland K. Apnea diving: long-term neurocognitive sequelae of repeated hypoxemia. Clin Neuropsychol 2006, 20:160-176.
19. Scherhag A, Pfleger S, Grosselfinger R, Borggrefe M. Does competitive apnea diving have a long-term risk? Cardiopulmonary findings in breath-hold divers. Clin J Sport Med 2005, 15:95-97.
20. Seccombe LM, Rogers PG, Mai N, Wong CK, Kritharides L, Jenkins CR. Features of glossopharyngeal breathing in breath-hold divers. J Appl Physiol 2006, 101:799-801.