Decompression Illness in Divers With or Without Patent Foramen Ovale

Lee, Hyun-Jong; Lim, Dal Soo; Lee, Jun-Young; Lee, Dong-geun; Oh, Mi-Young; Park, Jinsik; Kim, Chi-Hoon; Jung, Jens; Choi, Rak Kyeong; Kang, Young Cheon

doi:10.7326/m23-0260

Cited by 4 publications

(4 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 12 Another prospective cohort study demonstrated a significant increase in risk for DCS among those with high‐risk PFO, with an odds ratio of 9.34. 13 With respect to the distinctive rash our patient demonstrated, often called “livedo racemosa,” one retrospective study found that of patients with diagnosed livedo racemosa due to DCS all had a right‐to‐left shunt between venous and arterial systems, with 77.8% of these being PFOs. 14 Clearly, this risk is non‐negligible and suggests two important principles for emergency physicians as relates to the above case.…”

Section: Discussionmentioning

confidence: 94%

“…In one prospective study, the frequency of PFO among divers who developed DCS was found to be 97.2% as compared to 35.5% in controls 12 . Another prospective cohort study demonstrated a significant increase in risk for DCS among those with high‐risk PFO, with an odds ratio of 9.34 13 . With respect to the distinctive rash our patient demonstrated, often called “livedo racemosa,” one retrospective study found that of patients with diagnosed livedo racemosa due to DCS all had a right‐to‐left shunt between venous and arterial systems, with 77.8% of these being PFOs 14 .…”

Section: Discussionmentioning

confidence: 99%

“…Patients with a PFO, present in 27% of the population, have demonstrated increased risk for developing DCS and associated pathophysiology. [11][12][13] In one prospective study, the frequency of PFO among divers who developed DCS was found to be 97.2% as compared to 35.5% in controls. 12 Another prospective cohort study demonstrated a significant increase in risk for DCS among those with high-risk PFO, with an odds ratio of 9.34.…”

Section: Discussionmentioning

confidence: 99%

“…Lastly, the situation of concurrent DCS with PFO deserves attention due to the excess risk of developing arterial gas embolism. Patients with a PFO, present in 27% of the population, have demonstrated increased risk for developing DCS and associated pathophysiology 11–13 . In one prospective study, the frequency of PFO among divers who developed DCS was found to be 97.2% as compared to 35.5% in controls 12 .…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Occupational decompression sickness: A case report

Diederich,

Briggs,

Malik

et al. 2024

JACEP Open

View full text Add to dashboard Cite

Decompression sickness describes the clinical pathology that ensues when rapid decompression from a highly pressurized environment causes the formation of venous and extravascular inert gas bubbles. Symptoms vary widely, commonly including arthralgias, myalgias, paresthesias, and numbness. Severe and potentially life‐threatening pathology, such as neurologic impairment, cardiopulmonary instability, and gastrointestinal hemorrhage, can occur as well. Most think of diving endeavors as a common exposure predisposing to this condition, commonly referred to as “the bends.” Other occupational exposures documented in the medical literature include military training, caisson work, such as in mining and bridge construction, and hyperbaric treatment attendance. This article presents the case of a 32‐year‐old male presenting with a mottled rash, arthralgias, myalgias, headache, vision changes, and weakness, which is found to have decompression sickness secondary to occupational exposure in a factory‐based pressurized chamber. The patient underwent two hyperbaric chamber sessions with complete resolution of his symptoms. During hospitalization, he was found to have a patent foramen ovale. The patient was counseled to avoid further occupational exposure.

show abstract

Section: Discussionmentioning

confidence: 94%