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We agree that in the process of evaluating patients with OH, it is important for cardiologists to test for this deficiency

E., Brosnan, J

Risk Factors : hypertension, female, swimming 1.2 miles, prior history of SIPE Diagnostic Criteria (during or immediately after exertional water immersion/swimming): Dyspnea or cough Hypoxemia +/- Hemoptysis CXR shows pulmonary edema or infiltrates that resolve w/in 48 hours Absence of underlying pulmonary infection or aspiration of water Pathophysiology : unknown

Swirl gently, dont shake, and give it five to ten minutes to fully dissolve

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