title: Immersion pulmonary oedema and Takotsubo cardiomyopathy.
abstract: A 67-year-old female scuba diver developed a typical immersion pulmonary oedema (IPE), but investigations strongly indicated Takotsubo cardiomyopathy (TC). The cardiac abnormalities included increased cardiac enzymes, electrocardiographic anomalies and echocardiographic changes, all reverting to normal within days. This case demonstrates a similarity and association between IPE and TC, and the importance of prompt cardiac investigations both in the investigation of IPE and in making the diagnosis of TC.
authors.affiliation: The Wesley Centre for Hyperbaric Medicine, Brisbane, Queensland, Australia, Lumut Armed Forces Hospital RMN Naval Base, Lumut, 32100 Perak, Malaysia, E-mail: dranwa@gmail.com.
authors.forename: Andrew
authors.initials: A
authors.lastname: Ng
authors.affiliation: Consultant in Diving Medicine, Sydney, NSW, Australia.
authors.forename: Carl
authors.initials: C
authors.lastname: Edmonds
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D004242:Diving / Q000009:adverse effects*; D005260:Female; D006801:Humans; D011654:Pulmonary Edema / Q000175:diagnosis* / Q000209:etiology; D012623:Seawater; D054549:Takotsubo Cardiomyopathy / Q000175:diagnosis*; D013696:Temperature; D020107:Troponin T / Q000097:blood
chemical_list: D020107:Troponin T
keywords: Diving incidents; cardiovascular; case reports; echocardiography; immersion; pulmonary oedema