What is the appropriate cardiac work-up and management for an otherwise healthy individual who has experienced immersion pulmonary edema while scuba diving?
For the first time in my 27-year career, I was asked to consult on a patient in his early 40s with immersion pulmonary edema from scuba diving.
Answer from: at Community Practice
Immersion pulmonary edema (IPE) is rare in the general population, but does occur in approximately 1% of triathletes and more frequently among military recruits (Kumar and Thompson, PMID 30403902). IPE is due to acute increases in pulmonary capillary wedge pressure (PCWP), which can flood the alveol...
Immersion Pulmonary edema has two subcategories. One that of scuba divers' pulmonary edema (SDPE) and swimming-induced pulmonary edema (SIPE).Swimming-induced pulmonary edema (SIPE) often occurs in young individuals without predisposing conditions. I have seen cases of this, most commonly in triathl...