In summary, the investigators propose to study elite Croatian breath-hold and SCUBA divers. The investigators will quantify breath-hold hypoxia- and SCUBA diving-induced pulmonary hypertension and right heart function to investigate the relationships between PFO and IPAVA blood flow. The investigators will use a placebo-controlled intervention (sildenafil) to reduce pulmonary arterial pressure in these subjects to examine the impact of the change in pressure (or absence of change) on the relationships determined above.
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Pulmonary Pressure
Timeframe: 1 hour post intervention
Concentration of Myoglobin
Timeframe: 1 hour post intervention
Concentration of MRP8/14
Timeframe: 1 hour post intervention
Concentration of NGAL
Timeframe: 1 hour post intervention
Concentration Of CRP
Timeframe: 1 hour post intervention
Concentration Of MMP-2
Timeframe: 1 hour post intervention
Concentration of OPN
Timeframe: 1 hour post intervention
Concentration Of SAA
Timeframe: 1 hour post intervention
Concentration of IGFBP-4
Timeframe: 1 hour post intervention
Concentration of ICAM-1
Timeframe: 1 hour post intervention
Concentration of VCAM-1
Timeframe: 1 hour post intervention
Concentration of MMP-9
Timeframe: 1 hour post intervention
Concentration of Cystatin C
Timeframe: 1 hour post intervention
Change in Q-IPAVA
Timeframe: 1 hour post intervention