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Trey, Do NOT misquote me. I said that Dr. Omeara, Bill's board certified cardiologist, CLEARED Bill to resume diving. Bill's cardiac artery occlusions were reversed with angioplasty and the amount of heart wall damage from his acute episode was less than 2%. Dr. Omeara will continue to monitor Bill's cardiac health and will reassess his diving fitness on a regular basis. If diving with Bill makes you uncomfortable don't do it.... if you wish to recommend against Bill as an instructor that is your PERSONAL PREFERENCE not a medical opinion. Also on another note, The ASA and Ibuprofen issue has been an interesting thread. Most medical researchers have gravitated towards a 325mg daily dose for ASA as the recommended "anti-platlet" dose even in the acute MI setting. The jury is still out on the NISAID's. Not only do these drugs have anti-inflammatory and analgesic effects, researchers are now investigating them for long term reduction in senility and overall aging process. But currently the recommended dose for Motrin/ibuprofen is 800mg 3 times a day for arthritis with a maximum of 3200mg a day in refractory cases. I personally start each day diving day with 325mg of ASA and 800mg of Motrin or 500mg of Naprosyn. Lee Gibson Trey wrote: > Joel, I am sure it CLEARLY states that this does NOT apply where instructors > and training agencies are trying to make money. Just ask Tom Mouth or some > other reputable, reliable , scrupulous and honest source - they will say > exactly the same thing. > > So what if Renanker has had a heart attack and is a ridiculous fat slob and > totally out of shape. Lee Gibson has assured us that this is OK, as has > Mouth and the CDS lets him teach, so who are you to question these > luminaries and authoritarians? > > So what if a "sizeable" number of CDS instructors are ridiculous physical > jokes? > > -----Original Message----- > From: Joel Markwell <joeldm@mi*.co*> > To: Techdiver <techdiver@aq*.co*> > Cc: Cavers <cavers@cavers.com> > Date: Thursday, June 15, 2000 11:53 AM > Subject: Heart Disease Contraindications to Diving > > >In researching the aspirin/ibuprofen prevention of DCS I came across this > in > >the 23rd Annual Meeting of the European Underwater and Baromedical Society > >abstracts: > > > >CARDIOLOGICAL PROBLEMS. E. Schenk. Vienna, Austria. > > > >SCUBA diving requires physiological adaptation as a consequence of the > >increased ambient pressure, changes in partial pressure of oxygen, > breathing > >resistance and water temperature. Cardiac arrhythmias, bradyarrhythmias > >(sinus node dysfunction, AV conduction disturbances) or tachyarrhythmias > >(with or without premature complexes) may occur during SCUBA diving. > >Patients with arrhythmias Lowe III/IV using a bicycle ergometer, second > >degree AV block (Wenckebach) or third degree AV block, bifascicular block > >and syncope, must not SCUBA dive. Also, patients with ischaemic heart > >disease. Recently, myocardial infarction during SCUBA diving was attributed > >as the cause of death in a 27 year old diver, with undiagnosed severe > >endomyocardial fibrosis and arrhythmia. Patients with systolic and > diastolic > >murmur must have a Doppler echocardiogarphy and a Doppler flow > >echocardiogarphy before being allowed to dive. Valve regurgitation without > >hemodynamic importance during exercise requires regular echocardiography. > >Most patients with mitral valve problems are asymptomatic, but some might > be > >prone to paroxysmal supraventricular or ventricular tachycardia. > >CONCLUSIONS: In many cases, complete medical history, conscientious > >inspection and examination; electrocardiogram and roentgenogram should > >provide evidence of any cardiological problems. Occasionally, other methods > >such as echocardiography will be necessary. > > > >
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