Evidence map›Paper›PMID 38189825›Full record

ArticleEuropean journal of applied physiology2024

The effect of a single closed-circuit rebreather decompression dive in extremely cold water to cardiac function.

Laura J Tuominen, Suvi Tuohinen, Richard V Lundell, Anne K Räisänen-Sokolowski, Tomi Wuorimaa

Open access · hybridAbstract read
In one paragraph

Article in European journal of applied physiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 41% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. Inert Gas Mild Pressure Action on Healthy Humans: The "IPA" Study.International journal of molecular sciences · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Laura J TuominenDepartment of Emergency, Emergency Medical Services, Centre for Prehospital Emergency Care, Tampere, Finland. laura.tuominen2@pirha.fi.ORCID http://orcid.org/0000-0003-0826-4679
Suvi TuohinenHeart and Lung Center, Helsinki University Hospital, Helsinki University, Helsinki, Finland.
Richard V LundellDepartment of Pathology, Helsinki University, Helsinki, Finland.
Anne K Räisänen-Sokolowski *Centre for Military Medicine, Finnish Defence Forces, Helsinki, Finland.
Tomi Wuorimaa *Diving Medical Centre, Centre for Military Medicine, Upinniemi, Finland.
University of Helsinki · FIFinnish Defence Forces · FIHelsinki University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDive-induced cardiac and hemodynamic changes are caused by various mechanisms, and they are aggravated by cold water. Therefore, aging divers with pre-existing cardiovascular conditions may be at risk of acute myocardial infarction, heart failure, or arrhythmias while diving. The aim of this study was to assess the effect of a single decompression CCR dive in arctic cold water on cardiac function in Finnish technical divers.

methodsThirty-nine divers performed one identical 45 mfw CCR dive in 2-4 °C water. Hydration and cardiac functions were assessed before and after the dive. Detection of venous gas embolization was performed within 120 min after the dive.

resultsThe divers were affected by both cold-water-induced hemodynamic changes and immersion-related fluid loss. Both systolic and diastolic functions were impaired after the dive although the changes in cardiac functions were subtle. Venous inert gas bubbles were detected in all divers except for one. Venous gas embolism did not affect systolic or diastolic function.

conclusionA single trimix CCR dive in arctic cold water seemed to debilitate both systolic and diastolic function. Although the changes were subtle, they appeared parallel over several parameters. This indicates a real post-dive deterioration in cardiac function instead of only volume-dependent changes. These changes are without a clinical significance in healthy divers. However, in a population with pre-existing or underlying heart problems, such changes may provoke symptomatic problems during or after the dive.

Indexed as

Cold TemperatureDecompressionDivingAdultFemaleHeartHemodynamicsHumansMaleMiddle AgedCardiovascularDiving medicineEchocardiographyRebreathers closed circuitTechnical diving

Identifiers

PMID38189825
PMCPMC11130038
OpenAlexW4390663759

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.