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Does persistent (pa...
Does persistent (patent) foramen ovale closure reduce the risk of recurrent decompression sickness in scuba divers?
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- Edvinsson, B. (författare)
- Lund Univ, Skane Univ Hosp, Dept Cardiol, Dept Clin Sci, Lund, Sweden.
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- Thilen, U. (författare)
- Lund Univ, Skane Univ Hosp, Dept Cardiol, Dept Clin Sci, Lund, Sweden.
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- Nielsen, Niels Erik (författare)
- Linköpings universitet,Avdelningen för kardiovaskulär medicin,Hälsouniversitetet,Region Östergötland, Kardiologiska kliniken US
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- Christersson, Christina (författare)
- Uppsala universitet,Kardiologi,Uppsala Univ, Sweden
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- Dellborg, Mikael, 1954 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences,Univ Gothenburg, Sahlgrenska Univ Hosp, Dept Cardiol, Dept Clin Sci, Gothenburg, Sweden.
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- Eriksson, Peter (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences,Univ Gothenburg, Sahlgrenska Univ Hosp, Dept Cardiol, Dept Clin Sci, Gothenburg, Sweden.
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- Hlebowicz, J. (författare)
- Lund Univ, Skane Univ Hosp, Dept Cardiol, Dept Clin Sci, Lund, Sweden.
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Lund Univ, Skane Univ Hosp, Dept Cardiol, Dept Clin Sci, Lund, Sweden Avdelningen för kardiovaskulär medicin (creator_code:org_t)
- 2021-03-31
- 2021
- Engelska.
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Ingår i: Diving and hyperbaric medicine. - : Diving and Hyperbaric Medicine Journal. - 1833-3516 .- 2209-1491. ; 51:1, s. 63-67
- Relaterad länk:
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https://gup.ub.gu.se...
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https://doi.org/10.2...
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https://urn.kb.se/re...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Introduction: Interatrial communication is associated with an increased risk of decompression sickness (DCS) in scuba diving. It has been proposed that there would be a decreased risk of DCS after closure of the interatrial communication, i.e., persistent (patent) foramen ovale (PFO). However, the clinical evidence supporting this is limited. Methods: Medical records were reviewed to identify Swedish scuba divers with a history of DCS and catheter closure of an interatrial communication. Thereafter, phone interviews were conducted with questions regarding diving and DCS. All Swedish divers who had had catheter-based PFO-closure because of DCS were followed up, assessing post-closure diving habits and recurrent DCS. Results: Nine divers, all with a PFO, were included. Eight were diving post-closure. These divers had performed 6,835 dives (median 410, range 140-2,200) before closure, and 4,708 dives (median 413, range 11-2,000) after closure. Seven cases with mild and 10 with serious DCS symptoms were reported before the PFO closure. One diver with a small residual shunt suffered serious DCS post-closure; however, that dive was performed with a provocative diving profile. Conclusion: Divers with PFO and DCS continue to dive after PFO closure and this seems to be fairly safe. Our study suggests a conservative diving profile when there is a residual shunt after PFO closure, to prevent recurrent DCS events.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Arbetsmedicin och miljömedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Occupational Health and Environmental Health (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Endokrinologi och diabetes (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Endocrinology and Diabetes (hsv//eng)
Nyckelord
- Decompression illness
- Right-to-left shunt
- Risk
- Scuba diving
- Trimix
- Venous gas embolism
- venous gas emboli
- transcatheter closure
- professional divers
- illness
- prevention
- lesions
- safety
- pfo
- Public
- Environmental & Occupational Health
- Decompression illness
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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