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Echocardiographic Assessment Using Subxiphoid-Only Examination for Hypotensive Patients
Published on: April 18, 2025
Echocardiography in military oxygen divers
Alain Boussuges1, Florence Riera, Pascal Rossi
1Naval Medical Institute (IMNSSA), Toulon, France. a.boussuges@imnssa.net
Elite military divers showed greater left ventricular mass, potentially due to intense physical training and environmental stressors like hyperbaric hyperoxia. Cardiovascular function remained comparable to controls.
Area of Science:
- Cardiovascular physiology
- Diving medicine
- Sports science
Background:
- Divers face environmental stressors including immersion, scuba ventilation, cold, and pressure.
- These stressors can cause acute hemodynamic changes.
- The study investigated long-term cardiovascular modifications from repeated hyperbaric hyperoxia exposure.
Purpose of the Study:
- To assess long-term cardiovascular modifications in military oxygen divers.
- To compare hemodynamic parameters between divers and a control group.
Main Methods:
- Doppler echocardiography on 20 military oxygen divers and 22 controls.
- Analysis of left ventricular (LV) function (systolic/diastolic) and arterial compliance.
- Comparison of parameters potentially affected by acute hyperoxic exposure.
Main Results:
- Divers had higher body mass index and aerobic capacity.
- Left ventricular mass was significantly higher in divers (209 +/- 43 g) vs. controls (172 +/- 48 g), even when indexed to body surface area.
- LV systolic/diastolic function, stroke volume, cardiac index, peripheral vascular resistance, and systemic compliance were similar between groups.
Conclusions:
- Military oxygen divers exhibited greater left ventricular mass.
- Differences may stem from high-level physical training.
- Stressors like cold immersion, hyperoxia, and scuba breathing may contribute to findings.
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