Immersion pulmonary oedema and Takotsubo cardiomyopathy

Diving Hyperb Med. 2015 Dec;45(4):255-7.

Abstract

A 67-year-old female scuba diver developed a typical immersion pulmonary oedema (IPE), but investigations strongly indicated Takotsubo cardiomyopathy (TC). The cardiac abnormalities included increased cardiac enzymes, electrocardiographic anomalies and echocardiographic changes, all reverting to normal within days. This case demonstrates a similarity and association between IPE and TC, and the importance of prompt cardiac investigations both in the investigation of IPE and in making the diagnosis of TC.

Keywords: Diving incidents; cardiovascular; case reports; echocardiography; immersion; pulmonary oedema.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Diagnosis, Differential
  • Diving / adverse effects*
  • Female
  • Humans
  • Pulmonary Edema / diagnosis*
  • Pulmonary Edema / etiology
  • Seawater
  • Takotsubo Cardiomyopathy / diagnosis*
  • Temperature
  • Troponin T / blood

Substances

  • Troponin T