Author/Editor     Starc, Radovan; Knap, Bojan
Title     Non-cardiogenic pulmionary oedema induced by extreme cycling
Type     članek
Source     NZJSM
Vol. and No.     Letnik 35, št. 1
Publication year     2007
Volume     str. 15-8
Language     eng
Abstract     Noncardiogenic pulmonary oedema due to hyponataemia mainly in non-elite ultra-distance runners is a well known phenomenon. The case of an elite cyclist is described who developed noncardiogenic pulmonary oedema during an extreme race in which pathophysiological mechanisms of three forms of non-cardiogenic pulmonary oedema were involved (high-altitude pulmonary oedema, pulmonary oedema due to excessive physical exertion and swimming-induced pulmonary oedema). Overhydration without hyponataemia probably participated in the development of pulmonary oedema. Other causes of noncardiogenic pulmonary oedema or other possible causes appearing to resemble pulmonary oedema were ruled out. Rapid improvement of noncardiogenic pulmonary oedema is to be expected after treatment. The aim of treatment in all forms of noncardiogenic pulmonary oedema is to reduce pulmonary capillary pressure and congestion, and improve oxygenation (bed rest diuretics and supplemental oxygen). Individuals with high-altitude pulmonary oedema should be taken to a lower altitude, where partial oxygen pressure is higher. The authors would like to stress the possibility of noncardiogenic pulmonary oedema in extreme sport activities.
Descriptors     BICYCLING
PULMONARY EDEMA
EXERTION
ALTITUDE
SWIMMING
ADULT