{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:50:55Z","timestamp":1753876255398,"version":"3.41.2"},"reference-count":18,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T00:00:00Z","timestamp":1715644800000},"content-version":"vor","delay-in-days":13,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Scuba diving is a recreational activity usually considered at low impact on cardiovascular system. However, when diving, increased ambient pressure exerts several effects on the cardiovascular and pulmonary systems, mainly due to redistribution of peripheral blood into the central circulation. This phenomenon, also known as blood shift, may produce a significant overload on a non-healthy heart.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>We present the case of a female patient who experienced sudden cardiac death during scuba diving: post-mortem cardiac magnetic resonance and autopsy revealed that the patient was affected by previously unknown hypertrophic cardiomyopathy.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Diving exposes the body to significant physiological changes that may overstress a diseased heart. This case suggests the need for some cardiovascular exams, such as an echocardiogram or, at least, an electrocardiogram, for screening cardiovascular abnormalities in subjects who wish to practice scuba diving.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytae217","type":"journal-article","created":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T10:45:30Z","timestamp":1715683530000},"source":"Crossref","is-referenced-by-count":0,"title":["Sudden cardiac death during scuba diving: a case report of a patient with unknown hypertrophic cardiomyopathy"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3595-4723","authenticated-orcid":false,"given":"Marco","family":"Di Paolo","sequence":"first","affiliation":[{"name":"Department of Surgical Pathology, Medical, Molecular and Critical Area, Institute of Legal Medicine, University of Pisa , Via Roma 55, 56100 Pisa , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eleonora","family":"Mezzetti","sequence":"additional","affiliation":[{"name":"Department of Surgical Pathology, Medical, Molecular and Critical Area, Institute of Legal Medicine, University of Pisa , Via Roma 55, 56100 Pisa , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matteo","family":"Leoni","sequence":"additional","affiliation":[{"name":"Department of Surgical Pathology, Medical, Molecular and Critical Area, Institute of Legal Medicine, University of Pisa , Via Roma 55, 56100 Pisa , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8727-9769","authenticated-orcid":false,"given":"Andrea","family":"Scatena","sequence":"additional","affiliation":[{"name":"Department of Surgical Pathology, Medical, Molecular and Critical Area, Institute of Legal Medicine, University of Pisa , Via Roma 55, 56100 Pisa , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0723-4753","authenticated-orcid":false,"given":"Claudio","family":"Passino","sequence":"additional","affiliation":[{"name":"Interdisciplinary Center for Health Sciences, Scuola Superiore Sant\u2019Anna , Pisa , Italy"},{"name":"Cardiology Division, Fondazione Toscana Gabriele Monasterio , Pisa , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,5,14]]},"reference":[{"key":"2024051410445993700_ytae217-B1","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1111\/apha.12112","article-title":"Cardiovascular changes during SCUBA diving: an underwater Doppler echocardiographic study","volume":"209","author":"Marabotti","year":"2013","journal-title":"Acta Physiol (Oxf)"},{"key":"2024051410445993700_ytae217-B2","first-page":"131","article-title":"Cardiac function and oxygen saturation during maximal breath-holding in air 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