non-cardiogenic pulmonary edema

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Ok so the b/p medicine has got to go. I took myself off the lisinopril Thursday because my b/p was getting too low. I didn't take either one Thursday. My b/p was 90's/60's. I took one coreg cr 10 Friday night and slept most of the day yesterday. I took one last night and I slept all night and I am still so sleepy, achy and exhausted I can't stand it. I checked my b/p this morning and it is 90/60 with heart rate 60. I can't wait until I see the doctor in 3 weeks to get off it. I am just going to have to quit taking both of them and keep a check on my b/p and only take one if it gets too high until I can see him again.

Denise,
What you're describing is worth a phone call to your physician, rather than waiting three weeks. There could be a lot of things going on. Also, antihypertensive medications aren't usually "as needed" drugs like cold or allergy meds - your physician may advise against using them that way.
Best regards,
DDM
 
Thank you. I understand what you are saying is right.
 
Denise,
What you're describing is worth a phone call to your physician, rather than waiting three weeks. There could be a lot of things going on. Also, antihypertensive medications aren't usually "as needed" drugs like cold or allergy meds - your physician may advise against using them that way.
Best regards,
DDM
@denisegg: This is good advice. When used as antihypertensive meds, calcium channel blockers and beta-blockers should be taken on a consistent (daily or more than once per day) basis to maintain BP in a normal range. The symptoms of excessive sleepiness, fatigue, and achiness hint that something is not quite right. It could be an indication that BP is too low. Alternatively, those symptoms might be caused by an unrelated illness. Your doctor won't know how to help you until he does further tests, adjusts your BP meds, or does a little bit of both.
 
I talked to the Doc yesterday. It was definitely a case of being over medicated. He has advised me on how to proceed with my dosage. I am only borderline so I have to be very careful with keeping a check on it. He advised me to do just what I did. Not take any of it again until my b/p came back up. I have felt much better yesterday and today.
 
While you're adjusting your antihypertensive meds, it might be helpful to record your BP on a consistent daily (or more often) basis. Whenever possible, do the BP checks at the same time of day/night. Take note of when you dosed (or did not dose) with your meds. Record how you are feeling, too. Basically, what you'd be doing is keeping a detailed BP diary. This can be very useful info for the physician when he/she works on optimizing your meds.

Recording a range of BPs when you feel "normal" is just as useful as recording your BP when you feel "bad" (lightheaded, fatigued, etc.).

Glad to hear that you're feeling better. :D
 
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Thank you Bubbletrubble. Cave Diver had already given me that advice when he heard the way I sounded Sunday. I was pretty out of it. I have been keeping a diary since then. It has been very helpful to me.
I just spent 3 hours with a client trying to find an error in their inventory figures. I need to go check it now. :wink:
 
I'll add my recent data point. I had what is being called Pulmonary Edema in Key Largo, diving on the wreck Duane. It now looks like I have occasional Atrial Fibrillation. I've never before noticed it, but it got measured for a few hours while I was on heart monitoring electronics in the hospital, starting about 1-1/2 days after the dive. Even though the nurses told me my heart was not operating properly, I felt normal. It looks like at depth, not enough blood was flowing into my brain. My breathing felt normal, and in fact the dive computer logging shows a pretty constant rate of air consumption the entire dive.

Over a period of time during the dive, I became aware of a loss of things feeling "right" or "normal" and a then a definite loss of coordination. I was going through a doorway and my gear bumped into the opening 3 times. My immediate thoughts were, "This is serious, I should normally just zip through that opening". There was probably some blurring of vision, as I found it difficult to read my computer. I'm not sure of this as it is a new computer to me with much smaller text than my old one (Oceanic VT3 vs US Divers Scan 4)

It was near the end of the dive time anyway, so I sort of abruptly signaled my buddy to go up. As it was on a wreck, there was an ascent line. I went up at a normal rate on the ascent line behind a crowd of other divers. About that time, I remember thinking that the people ahead of me are not going fast enough, I need to get to the surface sooner. The next day, my buddy told me that I let go of the ascent line and made a controlled swim to the surface.

On the surface, I was observed with my mask on my forehead (typical for me) but unconscious. I was hauled onto the dive boat and given oxygen. I have no memory from letting go of the ascent line until 25 minutes later receiving oxygen.

I was diving at around 102ft on EAN32. Max depth was 105ft. and total dive duration was 22 minutes. According to the profile stored on my dive computer, I didn't come near to any limits except PO2 was about 1.40 at that depth. I was wearing a borrowed shorty wet suit. I have 50 years experience scuba diving, having taken my first class and started in 1961 on a "J" valve, dual hose regulator, and no BCD. I am 67 years old.

Medically, I have hypertension and take medication. I also have thickened heart muscle in left ventricle. That morning, I took my usual Atenolol, Benicar, and Simvastatin (for hypertension and cholesterol control) PLUS a sudafed and Bonine.
 
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Schai,
It sounds like you narrowly avoided a catastrophe. You'll definitely want to get on top of this before you get back in the water. Hopefully you're already discussing this with your cardiologist. If you'd like, I can also refer you to a diving physician close to you.
Best regards,
DDM
 
Do you have a history of Afib? Was it documented in the hospital?

I would wonder if you had immersion pulmonary edema from much deeper, and were vomiting at the surface from hypoxemia. I doubt IPE had its onset at the end of the dive, on the surface, especially if you were impaired before you got there.
 
The Duke Center for Hyperbaric Medicine and Environmental Physiology is studying Immersion Pulmonary Edema (swimming induced pulmonary edema SIPE). We have a lot of information, including pictures, scientific articles and links, about the condition, and our ongoing study on our websites "http://dukedivemedicine.org" and at "http://hyperbaric.mc.duke.edu". The long time diving medicine expert, Richard Moon is the PI for our study. Eric (Hexdall, DDM clinical director and scuba board host) and I can field other questions IPE online or we can set up a consult at our center if needed. Feel free to send a private message to DDM for a more specific, personalized response.
 

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