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Myocardial oedema in the setting of immersion pulmonary oedema - Cause or effect?

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Immersion pulmonary oedema (IPE) is an under-reported and poorly understood phenomenon thought to be related to exercise-induced haemodynamic changes while submersed in water. Previous work has demonstrated reversible myocardial dysfunction… Click to show full abstract

Immersion pulmonary oedema (IPE) is an under-reported and poorly understood phenomenon thought to be related to exercise-induced haemodynamic changes while submersed in water. Previous work has demonstrated reversible myocardial dysfunction during acute episodes. We present a case of IPE with concomitant, transient, left ventricular myocardial oedema characterised via MRI. This is a novel finding and may be evidence of left ventricular strain due to pressure overload or secondary to a subclinical myocarditis.

Keywords: immersion pulmonary; oedema setting; myocardial oedema; oedema; pulmonary oedema

Journal Title: BMJ Case Reports
Year Published: 2023

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