{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T04:46:54Z","timestamp":1782190014345,"version":"3.54.5"},"reference-count":0,"publisher":"Diving and Hyperbaric Medicine Journal","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diving Hyperb Med"],"abstract":"<jats:p>Symptoms and contributing factors of immersion pulmonary oedema (IPO) are not observed during non-immersed heart and\nlung function assessments. We report a case in which intense snorkelling led to IPO, which was subsequently investigated\nby duplicating cardiopulmonary exercise testing with (neoprene vest test \u2013 NVT) and without (standard test \u2013 ST) the\nwearing of a neoprene vest. The two trials utilised the same incremental cycling exercise protocol. The vest hastened\nthe occurrence and intensity of dyspnoea and leg fatigue (Borg scales) and led to an earlier interruption of effort. Minute\nventilation and breathing frequency rose faster in the NVT, while systolic blood pressure and pulse pressure were lower\nthan in the ST. These observations suggest that restrictive loading of inspiratory work caused a faster rise of intensity\nand unpleasant sensations while possibly promoting pulmonary congestion, heart filling impairment and lowering blood\nflow to the exercising muscles. The subject reported sensations close to those of the immersed event in the NVT. These\nobservations may indicate that increased external inspiratory loading imposed by a tight vest during immersion could\ncontribute to pathophysiological events.<\/jats:p>","DOI":"10.28920\/dhm51.4.376-381","type":"journal-article","created":{"date-parts":[[2021,12,13]],"date-time":"2021-12-13T21:14:52Z","timestamp":1639430092000},"page":"376-381","source":"Crossref","is-referenced-by-count":1,"title":["A neoprene vest hastens dyspnoea and leg fatigue during exercise testing: entangled breathing and cardiac hindrance?"],"prefix":"10.28920","volume":"51","author":[{"given":"Jacques","family":"Regnard","sequence":"first","affiliation":[{"name":"University Hospitals Dept of Physiology, EA3920 University of Bourgogne Franche Comt\u00e9, Besan\u00e7on, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathieu","family":"Veil-Picard","sequence":"additional","affiliation":[{"name":"Department of Respiratory Diseases, University Hospital, Besan\u00e7on, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malika","family":"Bouhaddi","sequence":"additional","affiliation":[{"name":"University Hospitals Dept of Physiology, EA3920 University of Bourgogne Franche Comt\u00e9, Besan\u00e7on, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Castagna","sequence":"additional","affiliation":[{"name":"Underwater Research Team (ERRSO), Military Biomedical Research Institute, Toulon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11463","published-online":{"date-parts":[[2021,12,20]]},"container-title":["Diving and Hyperbaric Medicine Journal"],"original-title":[],"deposited":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T03:52:04Z","timestamp":1782186724000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.dhmjournal.com\/images\/IndividArticles\/51Dec\/Regnard_Neoprene_2020-12(630).pdf"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,20]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2021,12,20]]}},"URL":"https:\/\/doi.org\/10.28920\/dhm51.4.376-381","relation":{},"ISSN":["2209-1491"],"issn-type":[{"value":"2209-1491","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12,20]]}}}