"Lung packing" in breath hold-diving: An impressive case of pulmo-cardiac interaction.

Respir Med Case Rep

Department of Cardiology, Pneumology and Int. Care Medicine, St. Vincenz Hospital Limburg, Auf dem Schafsberg, D-65549 Limburg, Germany.

Published: January 2016

There is a complex interaction between the heart and the lungs. We report on a healthy female who performs breath hold diving at a high, international level. In order to optimize pressure equalization during diving and to increase oxygen available, apneists employed a special breathing maneuver, so called "lung packing". Based on cardiac MRI we could demonstrate impressive effects of this maneuver on left ventricular geometry and hemodynamics. Beyond the fact, that our findings support the concept of pulmonary -cardiac interrelationship, it should be emphasized, that the reported, extreme breathing maneuver could have detrimental consequences due to reduction of stroke volume and cardiac output.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4681964PMC
http://dx.doi.org/10.1016/j.rmcr.2015.09.007DOI Listing

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