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2017 ; 8
(ä): 652
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Diagnosis of Swimming Induced Pulmonary Edema-A Review
#MMPMID28912730
Grünig H
; Nikolaidis PT
; Moon RE
; Knechtle B
Front Physiol
2017[]; 8
(ä): 652
PMID28912730
show ga
Swimming induced pulmonary edema (SIPE) is a complication that can occur during
exercise with the possibility of misdiagnosis and can quickly become life
threatening; however, medical literature infrequently describes SIPE. Therefore,
the aim of this review was to analyse all individual cases diagnosed with SIPE as
reported in scientific sources, with an emphasis on the diagnostic pathways and
the key facts resulting in its diagnosis. Due to a multifactorial and complicated
pathophysiology, the diagnosis could be difficult. Based on the actual
literature, we try to point out important findings regarding history, conditions,
clinical findings, and diagnostic testing helping to confirm the diagnosis of
SIPE. Thirty-eight cases from seventeen articles reporting the diagnosis of SIPE
were selected. We found remarkable differences in the individual described
diagnostic pathways. A total of 100% of the cases suffered from an acute onset of
breathing problems, occasionally accompanied by hemoptysis. A total of 73% showed
initial hypoxemia. In most of the cases (89%), an initial chest X-Ray or chest CT
was available, of which one-third (71%) showed radiological signs of pulmonary
edema. The majority of the cases (82%) experienced a rapid resolution of symptoms
within 48 h, the diagnostic hallmark of SIPE. Due to a foreseeable increase in
participation in swimming competitions and endurance competitions with a swimming
component, diagnosis of SIPE will be important, especially for medical teams
caring for these athletes.