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Swimming Induced Pulmonary Edema, or SIPE, is an emerging condition that affects athletes in the swim portion of triathlon events. “Symptoms include marked respiratory distress, wet-sounding popping or crackling in the lungs with breathing, a “junky” rattling cough, and the hallmark; coughing up pink, frothy blood-tinged sputum. When it occurs during exercise, one of the first sensations is shortness of breath that is substantially out of proportion to the effort being expended. SIPE is believed to occur from a combination of factors that creates what can be thought of as a “perfect storm” that leads to capillary leak”. There is not a lot of publicity given to SIPE, perhaps because there is not enough information published about it at this point, but we are learning more about this condition every day and are actively working to expand our knowledge base of possible common triggers.
What happens to the cardio system when you warm up – the geeky stuff