| Medical screening of recreational divers for cardiovascular disease: consensus discussion at the Divers Alert Network Fatality Workshop. | |
| | |
MedLine Citation:
|
PMID: 21877558 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
|
Cardiac events are responsible for a significant proportion of recreational diving fatalities. It seems inescapable that our current systems for selecting suitable recreational diver candidates and for longitudinal monitoring of diver health are failing to exclude some divers at high risk of cardiac events. Based on review of practice in parallel sporting disciplines and of the relevant literature, a series of recommendations for screening questions, identification of disqualifying conditions and risk factors, and investigation of candidates with risk factors was drafted. Recommendations for ongoing health monitoring in established divers were also generated. These recommendations were promulgated and debated among experts at a dedicated session of the Divers Alert Network Fatality Workshop. As a result, we propose a modified list of screening questions for cardiovascular disease that can be incorporated into health questionnaires administered prior to diver training. This list is confluent with the American Heart Association (AHA) preparticipation screen for athletes. The exercise stress test unmasks inducible cardiac ischemia and quantifies exercise capacity, and remains the tool of choice for evaluating diver candidates or divers with risk factors for coronary disease. An exercise capacity that allows for sustained exercise at a 6-MET intensity (possibly representing a peak capacity of 11-12 METS) is an appropriate goal for recreational divers. |
| | |
Authors:
|
Simon J Mitchell; Alfred A Bove |
Related Documents
:
|
15545238 - Effects of sock type on foot skin temperature and thermal demand during exercise. 21029188 - Exercise in a hot environment: the skin circulation. 19084988 - Evaluation of exercised or cooled skeletal muscle on the basis of diffusion-weighted ma... 12077168 - The relationship between heart rate and rate of oxygen consumption in galapagos marine ... 1925078 - Chronic bronchitis in the 1990s: up-to-date treatment. 3169678 - Exercise left ventricular performance in patients with mitral valve prolapse. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc Volume: 38 ISSN: 1066-2936 ISO Abbreviation: Undersea Hyperb Med Publication Date: 2011 Jul-Aug |
Date Detail:
|
Created Date: 2011-08-31 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9312954 Medline TA: Undersea Hyperb Med Country: United States |
Other Details:
|
Languages: eng Pagination: 289-96 Citation Subset: IM; S |
Affiliation:
|
Department of Anesthesiology, University of Auckland, Auckland, New Zealand. dr.m@xtra.co.nz |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Cardiovascular screening in asymptomatic adults: lessons for the diving world.
Next Document: Hyperbaric oxygen treatment to eliminate a large venous air embolism: a case study.