Open-water swimming could potentially be fatal, cardiologists warn

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BY AYESHA GULZAR

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A recent study links swimming in open water to a lung condition called swim-induced pulmonary edema (SIPE).

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The case study reports that the heart and the lungs can be affected by SIPE.

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SIPE causes fluid buildup in the lungs and is described by an umbrella term called Immersion Pulmonary Edema (IPE).

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Dr. Jenna Crowe-Riddell

The condition is found in open-water swimmers, scuba divers, snorkelers, military swimmers, and triathletes.

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IPE case studies have been reported since the 1980s. However, the first published evidence of IPE involving myocardial edema – swelling of the heart muscle – was published in 2022.

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According to the case study, a "fit and well female in her fifties" with no previous notable medical history started to hyperventilate while swimming.

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Blood is redirected from the peripheral vascular system to the core, increasing thoracic volume and thereby increasing pressure in the pulmonary vasculature.

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