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From: <kirvine@sa*.ne*>
Date: Wed, 01 Dec 1999 12:54:31 -0500
To: Esat Atikkan <atikkan@ya*.co*>
CC: techdiver@aquanaut.com
Subject: Re: RE. PFO study
E - as you say the "overhwhelming" is both a very real cause in its own
right in the absence of a PFO, and the cause of the presure change that
opens a PFO.

Also, the lesions may also be due to air diving. 

Bottom line is that a PFO test is a good idea, believing "negative"
results is not .


Esat Atikkan wrote:
> 
> The study is relatively old. It was 1st published in
> 1997.  So it just being rehashed for the purpose of
> some meeting  -  the game all academics play.
> 
> The significance of the study is indeed questionable
> (that is the BMJ paper in 97) for a # of reasons,
> though it does make it obvious that deco protocoles
> that limit bubble size should be invoked, as all
> shunts R not the same.
> 
> The next question is what R the meaming,
> physiologically, of those brain lesions.  W/ the
> increase in the sensitivity of tests, one is able to
> p/u finer & finer abberrations.  What do they really
> mean from the stndpt of the subject - no change, some
> deficit in cognitive abilities, etc.
> 
> Yes the observation was interesting.  The nxt step
> should B to study the significance of those lesions.
> Ideally, then, if found significant, then means to
> minimize the damage need to B developed.
> 
> Arteriolization of venous bubbles can occur by mech
> other than R2L shunting.  The phenomenon is thought to
> B associated w/ excessive bubbles in the pulmonary
> circ, overwhelming the 'filtering' ability of the
> pulmon capillaries (Also the putative cause of chokes,
> a form of DCS).
> 
> If it is the arteriolized bubbles, then it is
> irrelevant if they were arteriolized via a shunt or
> via the pulmon capil bed.
> 
> Safe bubbles
> 
> Esat Atikkan
> 
> --- Deep1dave@ao*.co* wrote:
> > I am glad to see this published.  I have felt that
> > most of the "unexplained"
> > CNS hits were the result of right to left shunts
> > such as a PFO.  There are
> > other types of right to left shunts.  One is a
> > ventricular septal defect.
> > Basically, any defect that allows blood to get from
> > the right side of the
> > heart to left, without going through the filter of
> > the lungs, should
> > predispose a diver to this problem.
> >
> > David Horne DVM
> > --
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> >
> 
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