JACC. Case reports · 2026
Swimming-Induced Pulmonary Edema With Concomitant Myocardial Injury: Case Report and Review of the Literature.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Belamkar Aditya, Burke Khristian, Hussain Kifah, Zielinski Allison
Аннотация
BACKGROUND: Swimming-induced pulmonary edema (SIPE) is an underrecognized cause of acute dyspnea in healthy athletes. Risk factors include older age, female sex, asthma, and underlying cardiopulmonary disease.
CASE SUMMARY: A 49-year-old man developed acute dyspnea during the swimming portion of a triathlon. On presentation, he exhibited hypoxemia, crackles, and radiographic pulmonary edema. Troponin elevation prompted further cardiac imaging, revealing preserved left ventricular function and focal acute myocardial edema. He was diagnosed with SIPE with concomitant myocardial injury; his condition improved with supportive care.
REVIEW SUMMARY: SIPE is a hydrostatic imbalance triggered by cold-water immersion, exertion, and external thoracic compression. Symptoms resolve rapidly with supportive care, and outcomes are generally positive, but recurrence can occur in up to 28% of patients. The presence of myocardial injury is an uncommon finding in SIPE, and it is unclear if this finding preceded or was secondary to it.
TAKE-HOME MESSAGE: SIPE may present with atypical findings including myocardial injury, and cardiologists must be vigilant to prevent misdiagnosis.
CASE SUMMARY: A 49-year-old man developed acute dyspnea during the swimming portion of a triathlon. On presentation, he exhibited hypoxemia, crackles, and radiographic pulmonary edema. Troponin elevation prompted further cardiac imaging, revealing preserved left ventricular function and focal acute myocardial edema. He was diagnosed with SIPE with concomitant myocardial injury; his condition improved with supportive care.
REVIEW SUMMARY: SIPE is a hydrostatic imbalance triggered by cold-water immersion, exertion, and external thoracic compression. Symptoms resolve rapidly with supportive care, and outcomes are generally positive, but recurrence can occur in up to 28% of patients. The presence of myocardial injury is an uncommon finding in SIPE, and it is unclear if this finding preceded or was secondary to it.
TAKE-HOME MESSAGE: SIPE may present with atypical findings including myocardial injury, and cardiologists must be vigilant to prevent misdiagnosis.