دورية أكاديمية

Global longitudinal strain assessment of cardiac function and extravascular lung water formation after diving using semi-closed circuit rebreather.

التفاصيل البيبلوغرافية
العنوان: Global longitudinal strain assessment of cardiac function and extravascular lung water formation after diving using semi-closed circuit rebreather.
المؤلفون: Martinez-Villar, María, Tello-Montoliu, Antonio, Olea, Agustín, Pujante, Ángel, Saura, Daniel, Martín, Silvia, Venero, Nereo, Carneiro-Mosquera, Ana, Ruiz de Pascual, Nuria, Valero, Noelia, Martinez-Herrera, Miguel, Ramírez-Macías, Inmaculada, Vilchez, Juan Antonio, García Navarro, Miguel, de la Morena, Gonzalo, Pascual, Domingo
المصدر: European Journal of Applied Physiology; Apr2022, Vol. 122 Issue 4, p945-954, 10p
مصطلحات موضوعية: BREATHING apparatus, DIVING, LUNGS, VENTRICULAR dysfunction, ULTRASONIC imaging
مستخلص: Purpose: The aim of the present investigation is to study the relationship of ventricular global longitudinal strain (GLS) and ultrasound lung comets (ULC) formation to establish a link between extravascular pulmonary water formation and cardiac contractile dysfunction. Methods: This is a prospective observational study including 14 active military divers. The subjects performed two sea dives of 120 min each with a semi-closed SCUBA circuit at 10 m depth. Divers were examined at baseline, 15 min (D1) and 60 min (D2) after diving. The evaluation included pulmonary and cardiac echography (including speckle tracking techniques). Blood samples were drawn at baseline and after diving, assessing hs-TnT and Endothelin-1. Results: ULC were detected in 9 (64.2%) and 8 (57.1%) of the subjects after D1 and D2 respectively. No differences were found in right and left ventricular GLS after both immersions (RV: Baseline: – 17.9 4.9 vs. D1: – 17.2 6.5 and D2: – 16.7 5.8 s−1; p = 0.757 and p = 0.529; LV: Baseline: – 17.0 2.3 vs. D1: – 17.4 2.1 and D2: – 16.9 2.2 s−1; p = 0.546 and p = 0.783). However, a decrease in atrial longitudinal strain parameters have been detected after diving (RA: Baseline: 35.5 9.2 vs. D1: 30.3 12.8 and D2: 30.7 13.0 s−1; p = 0.088 and p = 0.063; LA: Baseline: 39.0 10.0 vs. D1: 31.6 6.1 and D2: 32.4 10.6 s−1; p = 0.019 and p = 0.054). Conclusion: In the present study, no ventricular contractile dysfunction was observed. However, increase pulmonary vasoconstriction markers were present after diving. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:14396319
DOI:10.1007/s00421-022-04887-6