Acute pulmonary edema during a triathlon occurrence in a trained athlete
Boggio-Alarco, J.é L.; Jaume-Anselmi, F.; Ramirez-Rivera, J.
Boletin de la Asociacion Medica de Puerto Rico 98(2): 110-113
2006
ISSN/ISBN: 0004-4849 PMID: 19606798 Document Number: 702294
Prolonged, strenuous exercise is associated with muscle injury; this may become permanent if there is insufficient time to rest between bouts of endurance exercise. We present here the experience of a 36 year old athlete who developed myocardial injury and pulmonary edema during a triathlon. Within 24-hours, after receiving furosemide 40 mg every 8 hours and oxygen, his pulmonary edema disappeared. The serum troponin became transiently elevated as it happens with a myocardial infarction but no electrocardiographic changes occurred. It is concluded that strenuous exercises may cause myocardial injury with a transient decrease of ventricular function and pulmonary edema. The possibility of some permanent damage cannot be excluded.
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