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Lung physiology at play: Hemoptysis due to underwater hockey

Hemoptysis can be a very concerning symptom, and the workup of a patient with hemoptysis may be expensive and invasive. Over the past decade, there has been increasing recognition of hemoptysis that occurs in highly trained athletes under conditions of extreme physical exertion and is explained by “...

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Detalles Bibliográficos
Autores principales: Aversa, Meghan, Lapinsky, Stephen E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3969602/
https://www.ncbi.nlm.nih.gov/pubmed/26029522
http://dx.doi.org/10.1016/j.rmcr.2013.12.002
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author Aversa, Meghan
Lapinsky, Stephen E.
author_facet Aversa, Meghan
Lapinsky, Stephen E.
author_sort Aversa, Meghan
collection PubMed
description Hemoptysis can be a very concerning symptom, and the workup of a patient with hemoptysis may be expensive and invasive. Over the past decade, there has been increasing recognition of hemoptysis that occurs in highly trained athletes under conditions of extreme physical exertion and is explained by “pulmonary capillary stress failure”. This report highlights the physiological mechanisms of pulmonary capillary stress failure in the highly trained athlete, with emphasis on the predisposition to develop this condition in underwater sports. We describe the case of an otherwise healthy 34 year-old competitive underwater hockey player who reported hemoptysis following particularly strenuous games. We postulate that the hemoptysis was a result of the pulmonary capillary stress failure caused by the cumulative hemodynamic effects of a markedly elevated cardiac output, the increased central blood volume caused by the hydrostatic effects of submersion in water, and the negative intrathoracic pressure produced by voluntary diaphragmatic contractions.
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spelling pubmed-39696022014-10-15 Lung physiology at play: Hemoptysis due to underwater hockey Aversa, Meghan Lapinsky, Stephen E. Respir Med Case Rep Case Report Hemoptysis can be a very concerning symptom, and the workup of a patient with hemoptysis may be expensive and invasive. Over the past decade, there has been increasing recognition of hemoptysis that occurs in highly trained athletes under conditions of extreme physical exertion and is explained by “pulmonary capillary stress failure”. This report highlights the physiological mechanisms of pulmonary capillary stress failure in the highly trained athlete, with emphasis on the predisposition to develop this condition in underwater sports. We describe the case of an otherwise healthy 34 year-old competitive underwater hockey player who reported hemoptysis following particularly strenuous games. We postulate that the hemoptysis was a result of the pulmonary capillary stress failure caused by the cumulative hemodynamic effects of a markedly elevated cardiac output, the increased central blood volume caused by the hydrostatic effects of submersion in water, and the negative intrathoracic pressure produced by voluntary diaphragmatic contractions. Elsevier 2014-01-20 /pmc/articles/PMC3969602/ /pubmed/26029522 http://dx.doi.org/10.1016/j.rmcr.2013.12.002 Text en © 2014 The Authors http://creativecommons.org/licenses/by-nc-sa/3.0/ This is an open access article under the CC BY-NC-SA license (http://creativecommons.org/licenses/by-nc-sa/3.0/).
spellingShingle Case Report
Aversa, Meghan
Lapinsky, Stephen E.
Lung physiology at play: Hemoptysis due to underwater hockey
title Lung physiology at play: Hemoptysis due to underwater hockey
title_full Lung physiology at play: Hemoptysis due to underwater hockey
title_fullStr Lung physiology at play: Hemoptysis due to underwater hockey
title_full_unstemmed Lung physiology at play: Hemoptysis due to underwater hockey
title_short Lung physiology at play: Hemoptysis due to underwater hockey
title_sort lung physiology at play: hemoptysis due to underwater hockey
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3969602/
https://www.ncbi.nlm.nih.gov/pubmed/26029522
http://dx.doi.org/10.1016/j.rmcr.2013.12.002
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