AI Article Synopsis
- * Testing for PFO is suggested in cases of unprovoked or recurring DCI using specific imaging methods like bubble contrast echocardiography.
- * Patients with PFO and a DCI history should consult a diving medicine cardiologist, and PFO closure may be considered if diving cessation isn't possible.
Article Abstract
Presence of patent foramen ovale (PFO), particularly if high-grade, increases the risk of decompression illness (DCI) and its severe forms. In unprovoked or recurrent DCI, neurologic, cutaneous, or cardiopulmonary DCI, testing for PFO is indicated with bubble contrast echocardiography or transcranial Doppler using provocative maneuvers. In patients with PFO and history of DCI, evaluation by a cardiologist with expertise in diving medicine is recommended. Consideration should be given to PFO closure if cessation of diving or conservative diving cannot be achieved. Prospective studies evaluating long-term outcomes in patients who continue to dive after PFO closure are required.
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| http://dx.doi.org/10.1016/j.ccl.2024.01.010 | DOI Listing |
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