Mal de altura

  1. Clara Sáez Ibarra
  2. Irene Ruiz Adelantado
  3. Lorenzo Alarcón García
Journal:
Revista Sanitaria de Investigación

ISSN: 2660-7085

Year of publication: 2024

Volume: 5

Issue: 6

Type: Article

More publications in: Revista Sanitaria de Investigación

Abstract

The term altitude sickness disease covers several clinical conditions that occur in response to blood hypoxia that occurs due to the decrease in barometric pressure when we ascend above 2500-3000 meters of altitude. Rapid ascent, strenuous physical exercise, a history of lung or heart disease, and a history of altitude sickness have been identified as risk factors for developing the disease. The symptoms are caused by the extravasation of fluid in the brain and lungs. The most common form is acute mountain sickness or altitude headache, which is usually self-limiting. There are other serious forms such as pulmonary or cerebral edema at high altitudes that can compromise the patient’s life. Acetazolamide has proven effective in preventing the condition, but the only effective short-term treatment is immediate descent to lower altitudes.

Bibliographic References

  • Roach RC, Lawley JS, Hackett PH. High-altitude physiology. Wilderness Medicine, 7th ed, Auerbach PS (Ed), Elsevier, Philadelphia 2017; Pág 2.
  • J. Vardy, K. Judge. Acute mountain sickness and ascent rates in trekkers above 2500 m in the Nepali Himalaya. Aviat Space Environ Med; 77 (2006); pag. 742-744.
  • Bryan Simon R, SimonDebbie A. Mal de altura. Nursing. Elsevier. Mayo-junio 2015. Vol 32; Núm 3.
  • Luks AM, Hackett PH. Medical Conditions and High-Altitude Travel. N Engl J Med. 2022 Jan 27;386(4):364-373.
  • Luks AM, McIntosh SE, Grissom CK, et al. Wilderness Medical Society Consensus Guidelines for the Prevention and Treatment of Acute Altitude Illness. Wilderness & Environmental Medicine. 2010; 21(2):146-155.
  • West, J., Schoene, R., Luks, A., & Milledge, J. (2012). High Altitude Medicine and Physiology 5E (5th ed.). CRC Press.