Adult subacute mountain sickness - A Syndrome of Congestive Heart Failure in Man at Very High Altitude
A new type of mountain sickness is described. 21 men (age 22.2, standard deviation [SD] 1.8 years) had severe congestive heart failure with oedema and ascites after 10.8 (SD 5.9) weeks at altitudes of 5800-6700 m. The investigation, within 3 days of transfer to 300 m, showed polycythemia, cardiomegaly with right ventricular enlargement, and (in 17) pericardial effusion. The heart failure resolved rapidly after transfer from high altitude.
Anand Inder S, Malhotra Ravinder M, Chandrashekhar Yellapragada, Bali Harinder K, Chauhan Shamsher S, Jindal Surinder K, Bhandari Raj K, Wahi Purshotam L. Adult subacute mountain sickness – A syndrome of congestive heart failure in man at very high attitude. Lancet 1990; 335:561-5. (10.197).
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