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Foramen Ovale Patent and Diving


Authors: R. Pudil 1;  P. Macura 2;  J. Reitinger 3
Authors place of work: I. interní klinika LF UK a FN, Hradec Králové, přednosta Prof. MUDr. Jan Vojáček, DrSc. 1;  Ambulance potápěčské medicíny, Hradec Králové 2;  Dětská klinika LF UP a FN, Olomouc, přednosta Prof. MUDr. Vladimír Mihál, CSc. 3
Published in the journal: Pracov. Lék., 59, 2007, No. 1-2, s. 60-62.
Category: Review article

Summary

Patent foramen ovale is experiencing much clinical interest as a congenital cardiac lesion that persists up to adulthood. It is a risk factor for several serious clinical syndromes, including decompression sickness in divers. This paper reviews current knowledge of this interesting lesion concerning scuba diving, summarizes diagnostic and therapeutic directions, and recommendation with the aim to minimalize its impact.

Key words:
foramen ovale patent, decompression, diving, diagnostics, therapy, recommendations


Zdroje

1. WILMHURST, P. T., ELIS, B. G., JENKINS, B. S. Paradoxical gas embolism in scuba diver with an atrial septa defect. Br. Med. J. 1986, 293, s. 1277.

2. HARA, H., VIRMANI, R., LADISH, E. et al. Patent foramen ovale: Current pathology, pathophysiology, and clinical status. J. Am. Coll. Cardiol., 2005, 46, s. 1768–1776.

3. TORTI, S. R., BILLINGER, M., SCHWERTZMANN, M. et al. Risk of decompression illness among 230 divers in relation to the presence and size of patent foramen ovale. Eur. Heart J., 2004; 25, s. 1014–1020.

4. SCHWERTZMANN, M., SEILER, CH., LIPP, E. et al. Relation between directly detected patent foramen ovale and ischemic brain lesions in sport divers. Ann. Intern. Med., 2001, 134, s. 21–24.

5. GERMONPRE, P., HASTIR, F., DENDALE, P., MARRONI, A., NGUYEN, A. F., BALESTRA, C. Evidence for increasing patency of foramen ovale in divers. Am. J. Cardiol., 2005, 95, s. 912–915.

6. CARTONI, D., DE CASTRO, S., VALENTE, G. et al. Identification od professional scuba divers with patent foramen ovale at risk for decompression illness. Am. J. Cardiol., 2004, 94, s. 270–273.

7. WALSH, K. P., WILMHURST, P., MORRISON, W. Trans- catheter closure of patent foramen ovale using the Amplatzer septal occluder to prevent recurrence of neurological decompression illness in divers. Heart, 1999, 81, s. 257–261.

8. LANDZBERG, M. J., KHAIRY, P. Indications for the closure of patent foramen ovale. Heart, 2004, 90, s. 219–224.

9. Flachskampf, F., Daniel, W. Closure of patent foramen ovale: is the case really as well? Heart, 2005, 91, s. 449–450.

10. BENNETT, P., CRONJÉ, F., CAMPBELL, E. Assessment of Diving medical fitness for scuba divers and instructors. Flagstaff : Best Publishing Company 2006, 241 s.

11. MARTIN, L. Diving, patent foramen ovale, brain lesions. Ann. Intern. Med., 2001, 135, s. 928.

12. BOLLEN, A. M. Diving, patent foramen ovale, and brain lesions. Ann. Intern. Med., 2001, 135, s. 928–929.

Štítky
Hygiene and epidemiology Hyperbaric medicine Occupational medicine
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