Posted by Tanya on May 06, 1999 at 21:16:30
My 31-year-old brother recently (2.5 months ago) suffered from decompression sickness ("bends")while diving. His symptoms began a few hours after the diving incident and he was flown to the nearest hospital for decompression. After decompression and subsequent follow-up, he was declared "treated." Since then, however, he has had numerous "attacks" of
rapidRapid shallow breathing heartbeatHeart palpitations
Ultrasound, normal fetus - heartbeat
Ultrasound, ventricular septal defect - heartbeat. It comes on suddenly, even in the middle of a
normalNormal saline flush conversation. He describes these attacks as being like a wave that suddenly washes over him. The doctors that he has seen all claim this is a
panicPanic disorder
Panic disorder with agoraphobia attack, but there is no increase in respiration and he is not experiencing anxiety at the time the attack occurs.
Coincident, or related to this, he has also been experiencing back and arm pain since the diving incident. He was involved in a car accident 1-2 weeks before the diving incident, perhaps the pain is a residual of that.
Other than being accident prone, do you have any comments on my brother's condition?
Posted by CCF CARDIO MD - MTR on May 07, 1999 at 08:31:19
Dear Tanya, thank you for your question. I'm not an expert on decompression illnesses, but I don't think "the bends" should cause
tachycardiaArrhythmias
Multifocal atrial tachycardia
Paroxysmal supraventricular tachycardia (psvt)
Sick sinus syndrome
Ventricular tachycardia that was not previously present. I'm not sure about the back and arm pain either. However, if your brother is indeed having
recurrentRecurrent cystitis episodes of tachycardia, then he may benefit from wearing a portable cardiac monitor for 24-48 hours to document the heart rhythm during an "episode." Depending on the results of a cardiac monitor, his physicians could do further tests to determine what is causing his symptoms. It may be that your brother was prone to developing tachycardia and that the appearance of symptoms was just coincidentally related to the timing of his decompression sickness. For further information, I suggest you speak with a pulmonologist who has expertise in treating decompression sickness.
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