Can I Dive with Left Ventricular Hypertrophy and Tachycardia? - Cardiology

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Can someone with left ventricular hypertrophy dive?


Hello, I had an electrocardiogram, and the doctor said I have left ventricular hypertrophy and a heart rate of around 100 beats per minute.
I don't feel any discomfort.
Can I go scuba diving with these symptoms, due to work-related reasons? Thank you.

Xiao Fei, 40~49 year old female. Ask Date: 2015/09/22

Dr. He Dongjin reply Cardiology


Hello, you have left ventricular hypertrophy and a heart rate of around 100 beats per minute.
This does not affect cardiac function, and it is safe for you to dive.
Changhua Hospital cares about you.

Reply Date: 2015/09/22

More Info


Diving with left ventricular hypertrophy (LVH) and tachycardia can pose significant risks, and it's essential to approach this situation with caution. Left ventricular hypertrophy is a condition where the muscle wall of the heart's left ventricle becomes thickened, often due to high blood pressure or other heart conditions. Tachycardia, defined as a resting heart rate over 100 beats per minute, can indicate that the heart is under stress or working harder than normal.

Before considering diving, it is crucial to understand the implications of these conditions. LVH can affect the heart's ability to pump blood effectively, especially under the increased pressure and physical demands associated with diving. The underwater environment can place additional stress on the cardiovascular system due to changes in pressure, temperature, and the physical exertion required during diving activities.

Here are some important considerations:
1. Medical Evaluation: It is vital to have a thorough evaluation by a cardiologist who understands the specific risks associated with diving. They may recommend additional tests, such as echocardiograms or stress tests, to assess your heart's function and response to exertion.

2. Symptoms Monitoring: Although you mentioned not feeling any discomfort, it is essential to monitor for any symptoms such as chest pain, shortness of breath, or palpitations, especially during physical activity. If you experience any of these symptoms, it is crucial to refrain from diving and seek medical advice.

3. Diving Risks: The underwater environment can exacerbate existing heart conditions. The increased pressure can affect blood flow and heart function, potentially leading to complications such as arrhythmias or even cardiac events. Additionally, the physical exertion required for diving can increase heart rate and oxygen demand, which may not be well-tolerated in individuals with LVH and tachycardia.

4. Guidelines and Restrictions: Many diving organizations have specific medical guidelines regarding cardiovascular conditions. It is advisable to consult these guidelines and discuss them with your healthcare provider to determine whether you meet the criteria for safe diving.

5. Lifestyle Modifications: If you are diagnosed with LVH and tachycardia, lifestyle changes may be necessary to manage your condition effectively. This includes controlling blood pressure, maintaining a healthy weight, engaging in regular, moderate exercise, and avoiding stimulants that could exacerbate tachycardia.

6. Follow-Up Care: Regular follow-up with your healthcare provider is essential to monitor your heart condition. They can provide ongoing assessments and adjust treatment plans as necessary.

In conclusion, while it may be tempting to continue diving, the presence of left ventricular hypertrophy and tachycardia warrants a cautious approach. Consulting with a cardiologist who specializes in diving medicine is crucial to ensure your safety. They can provide personalized advice based on your specific health status and the demands of diving. Always prioritize your health and safety when considering activities that may put additional strain on your cardiovascular system.

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