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All major diving organizations require medical screening before a person may participate in SCUBA (self-contained underwater breathing apparatus) diving. The screening intervals vary depending on the country and the purpose of the diving (recreational versus commercial). In 2017, there were 67 SCUBA diving fatalities reported to the Diver Alert Network (DAN), and of the cases with cause reported, 15% were related to an underlying cardiac disease.[1] Thus, all SCUBA divers should be assessed for cardiovascular comorbidities affecting their diving fitness.
Coordination between a cardiologist and a hyperbaric or diving physician may be useful so that the cardiologist understands the stressors and physiology associated with diving and for the diving physician to be fully aware of the cardiac issues a particular patient is dealing with.