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Chest pain accompanied by shortness of breath is not a common complaint in diving medicine, but if it occurs, it usually indicates a very serious illness.


A 55 year old female diver, had difficulty to equalize the pressure in her left middle ear during a diving descent, she had to make a forceful valsalva maneuver a few times to be able to equalize the pressure. She complained from some pain after the dive and decided not to dive the second dive that day