Bases physiopathogéniques de l’œdème pulmonaire d’immersion

L’œdeme pulmonaire d’immersion (OPI) est souvent decrit en plongee en scaphandre autonome mais peut aussi s’observer en nage de surface ou en apnee sousmarine. Cette pathologie, directement liee aux contraintes environnementales de l’immersion, est favorisee par un terrain cardiovasculaire. Elle peut egalement toucher des cœurs sains a travers un exercice physique associe a un effort ventilatoire important. L’OPI a pour origine une augmentation du gradient de pression transmurale au niveau des capillaires pulmonaires par une elevation de la pression capillaire (precharge et postcharge) et une diminution de la pression alveolaire. Au travers d’un cas clinique, nous precisons les mecanismes physiopathologiques encore meconnus de ce desequilibre pressionnel et nous decrivons les principes de prise en charge prehospitaliere et hospitaliere de l’OPI avec un rappel des diagnostics differentiels a evoquer devant une symptomatologie respiratoire au decours d’une plongee. Nous insistons sur une sensibilisation et un depistage cardiologique d’un terrain a risque, en particulier d’une hypertension arterielle, chez tout plongeur de plus de 50 ans.

• Publication year

  2020

• Venue

  Unknown venue

• Publication date

  2020-03-01

• Fields of study

  Not labeled

• Identifiers
  DOI 10.3166/afmu-2019-0210
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar

• No claims are published for this paper.

• No concepts are published for this paper.

• The Key Roles of Negative Pressure Breathing and Exercise in the Development of Interstitial Pulmonary Edema in Professional Male SCUBA Divers

  2018cited by this paper
• [Immersion pulmonary edema].

  2017cited by this paper
• Immersion Pulmonary Edema in the setting of Takotsubo Cardiomyopathy

  2016cited by this paper
• Stress Cardiomyopathy Caused by Diving: Case Report and Review of the Literature.

  2016cited by this paper
• Œdème pulmonaire en plongée sous-marine

  2016cited by this paper
• Immersion pulmonary edema and comorbidities: case series and updated review.

  2015cited by this paper
• Immersion pulmonary oedema and Takotsubo cardiomyopathy.

  2015cited by this paper
• Hypertension is predictive of recurrent immersion pulmonary edema in scuba divers.

  2014cited by this paper
• [Lungs et diving].

  2014cited by this paper
• Reversible myocardial dysfunction and clinical outcome in scuba divers with immersion pulmonary edema.

  2013cited by this paper
• Vascular hyperpermeability in pulmonary decompression illness: ‘The chokes’

  2012cited by this paper
• Ultrasound lung comets induced by repeated breath‐hold diving, a study in underwater fishermen

  2011cited by this paper
• The Curious Question of Exercise-Induced Pulmonary Edema

  2011cited by this paper
• Swimming-induced pulmonary edema in triathletes.

  2010cited by this paper
• Takotsubo cardiomyopathy associated with diving.

  2010cited by this paper
• The Physiology and Pathophysiology of the Hyperbaric and Diving Environments Effects of head and body cooling on hemodynamics during immersed prone exercise at 1

  2009cited by this paper
• Hemoptysis and breath-holding diving.

  2006cited by this paper
• [abstract] Pulmonary Edema in Combat Swimmers: Clinical and Bronchoalveolar Lavage Description Demonstrating Stress Failure of the Pulmonary Capillaries

  2004cited by this paper
• Immersion pulmonary edema in special forces combat swimmers.

  2002cited by this paper
• Adaptations respiratoires chez le plongeur en apnée

  2002cited by this paper
• [Lungs and underwater diving].

  1997cited by this paper
• Hemodynamic changes in man during immersion with the head above water.

  1972cited by this paper
• Thoracic squeeze diving casualty

  1971cited by this paper
• highlighted topics Cellular Responses to Mechanical Stress Invited Review: Pulmonary capillary stress failure

  year unknowncited by this paper

• No citing papers are available for this paper.