title: Acute pulmonary edema during a triathlon occurrence in a trained athlete.
abstract: Prolonged, strenuous exercise is associated with muscle injury; this may become permanent if there is insufficient time to rest between bouts of endurance exercise. We present here the experience of a 36 year old athlete who developed myocardial injury and pulmonary edema during a triathlon. Within 24-hours, after receiving furosemide 40 mg every 8 hours and oxygen, his pulmonary edema disappeared. The serum troponin became transiently elevated as it happens with a myocardial infarction but no electrocardiographic changes occurred. It is concluded that strenuous exercises may cause myocardial injury with a transient decrease of ventricular function and pulmonary edema. The possibility of some permanent damage cannot be excluded.
authors.affiliation: Hospital la Concepción, P.O. Box 285, San German, PR.
authors.forename: José L
authors.initials: JL
authors.lastname: Boggio-Alarco
authors.forename: Francisco
authors.initials: F
authors.lastname: Jaume-Anselmi
authors.forename: Jose
authors.initials: J
authors.lastname: Ramirez-Rivera
mesh_terms: D000208:Acute Disease; D000328:Adult; D006801:Humans; D008297:Male; D011654:Pulmonary Edema / Q000209:etiology*; D013177:Sports