XXXX Caused by Diving: Case Report and  Review  of  the Literature.

@entity1 @entity296 @entity3126 @entity1353 @entity63 @entity2915 @entity661 @entity453 @entity5702 @entity583
BACKGROUND: @entity661 is characterized by transient @entity296 that  mimics a @entity583 in the absence of obstructive @entity453 . The onset is frequently triggered by an acute illness or intense physical or emotional stress. CASE REPORT: We describe the case of a 47-year-old @entity1 who was brought to the emergency department with acute onset @entity1353 while scuba diving. She was found to have @entity3126 radiographically. Her troponins were noted to be positive. Initial echocardiogram showed @entity5702 with @entity2915 of apex. She was treated with noninvasive ventilation and intravenous diuretic therapy and her symptoms significantly improved. She subsequently underwent cardiac catheterization which revealed nonobstructive @entity453 . An exercise stress echocardiogram was performed 2  days later that revealed resolution of the wall motion abnormality and no @entity63 at high levels of exercise. A diagnosis of reverse stress (Takotsubo) @entity296 was made based on Mayo Clinic Diagnostic criteria.    WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: This case brings to light the risk of @entity661 in divers. The diagnosis should be considered in @entity1 presenting with @entity3126 during diving.
