Swimming-Induced Pulmonary Edema
Other Names
- SIPE
Background
- Typical presentation during cold-water immersion
Pathophysiology
- It appears to occur secondary to a sudden increase in central vascular volume during immersion,
- causing acute fluid overload and cardiogenic pulmonary edema
Risk Factors
- Sports
- Scuba Divers
- Swimmers
- Triathletes
- Hypertension
- Fish-oil supplementation
- Cold-water immersion
- Intense physical activity
- Overhydration
Differential Diagnosis
Clinical Features
Evaluation
Classification
Management
- Removal from the water
- Cessation of physical activity
- Observation
- If severe
- Oxygen
- Diuretics
- Not helpful
- Bronchodilators