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Free Content Hypoxic Syncope in a Competitive Breath-Hold Diver with Elevation of the Brain Damage Marker S100B

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Linér MH, Andersson JPA. Hypoxic syncope in a competitive breath-hold diver with elevation of the brain damage marker S100B. Aviat Space Environ Med 2009; 80:1066–8.

Introduction: Competitive breath-hold divers can accomplish previously unbelievable performances; e.g., the current world record for apnea during rest (“static apnea”) is 11 min 35 s. However, whether such performances are associated with a risk for hypoxic brain damage has not been established. Case Report: A breath-hold diver's competitive performance resulted in a loss of consciousness, after which he was subjected to a medical examination by the event physician. Blood samples were collected for analysis of the brain damage marker S100B in serum. The S100B in serum was 0.100 g · L−1 in the blood sample collected 15 min after the loss of consciousness. At 1 and 5 d after the incident it was 0.097 g · L−1 and 0.045 g · L−1, respectively. Discussion: The elevated level of S100B, close to the upper reference limit (0.105 g · L−1) indicates that the incident affected the integrity of the central nervous system. Even though this case does not establish that hypoxic brain damage is an inherent risk with loss of consciousness in competitive breath-hold diving, the observation raises concerns. We suggest that it should be considered that repetitive exposures to prolonged apneas leading to severe hypoxia may be associated with negative long-term effects.

Keywords: apnea; asphyxia; breath-hold diving; hypoxia; unconsciousness

Document Type: Case Report


Publication date: December 1, 2009

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