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High Altitude Edema

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461. High-altitude pulmonary edema in children with underlying cardiopulmonary disorders and pulmonary hypertension living at altitude. (Full text)

High-altitude pulmonary edema in children with underlying cardiopulmonary disorders and pulmonary hypertension living at altitude. Pulmonary hypertension has not been described as a predisposing risk factor for high-altitude pulmonary edema (HAPE) in children. Previous studies have shown an association of HAPE with abnormally increased pulmonary vasoreactivity to hypoxia but generally normal pulmonary artery pressure (PAP) after recovery.To describe HAPE of relatively rapid onset and its (...) management in a series of children residing at moderate to high altitudes, all of whom had underlying pulmonary hypertension.From 1997 to 2003, 30 children came to our center with high-altitude illness. Of these, 10 children (aged 4-18 years; male-female ratio, 8:2) living at moderate to high altitudes (1610-3050 m) underwent cardiac catheterization after recovery from HAPE, and all were found to have chronic pulmonary hypertension (mean PAP, 38 +/- 9 mm Hg; pulmonary vascular resistance, 8.6 +/- 2.8 U x

2004 Archives of Pediatrics & Adolescent Medicine PubMed

462. Adult respiratory distress syndrome secondary to high altitude pulmonary edema. (Full text)

Adult respiratory distress syndrome secondary to high altitude pulmonary edema. 7347049 1982 10 21 2018 11 13 0093-0415 133 4 1980 Oct The Western journal of medicine West. J. Med. Adult respiratory distress syndrome secondary to high altitude pulmonary edema. 335-7 Zimmerman G A GA Crapo R O RO eng Case Reports Journal Article United States West J Med 0410504 0093-0415 IM Adult Altitude Sickness complications Humans Hypoxia complications Male Pulmonary Edema complications Respiratory Distress

1980 Western Journal of Medicine PubMed

463. High-Altitude Pulmonary Edema in Vail, Colorado, 1975-1982 (Full text)

High-Altitude Pulmonary Edema in Vail, Colorado, 1975-1982 Between 1975 and 1982 a total of 47 cases of high-altitude pulmonary edema occurred in Vail, Colorado, elevation 2,500 m (8,200 ft). All occurred in visitors from lower altitudes. The mean age of the patients was 35.6 years, and 93% were men. Most patients had tachycardia, tachypnea and fever. The mean time of onset of cough and shortness of breath was 2.5 days after arrival. The average total ascent of the patients was 2,330 m (7,644

1986 Western Journal of Medicine PubMed

464. High-altitude pulmonary edema at a ski resort. (Full text)

High-altitude pulmonary edema at a ski resort. Medical records of 150 patients with high-altitude pulmonary edema seen over a 39-month period in a Colorado Rocky Mountain ski area at 2,928 m (9,600 ft) (mean age 34.4 years; 84% male) were reviewed. The mean time to the onset of symptoms was 3 +/- 1.3 days after arrival. Common symptoms were dyspnea, cough, headache, chest congestion, nausea, fever, and weakness. Orthopnea, hemoptysis, and vomiting were rare, occurring in 7%, 6%, and 16 (...) %, respectively. Symptoms of cerebral edema occurred in 14%. A temperature exceeding 100 degrees F occurred in 20%, and 17% had a systolic blood pressure of 150 mm of mercury or higher. Blood pressures were higher in patients older than 50 years (142 mm of mercury). Rales were present in 85%, and a pulmonary infiltrate was present in 88%; both were most commonly bilateral or on the right side. The amount of infiltrate was mild. Men appeared to be more susceptible than women to high-altitude pulmonary edema

1996 Western Journal of Medicine PubMed

465. Endotracheal intubation and mechanical ventilation following respiratory arrest from high altitude pulmonary edema. (Full text)

Endotracheal intubation and mechanical ventilation following respiratory arrest from high altitude pulmonary edema. 10214107 1999 05 06 2018 11 13 0093-0415 170 3 1999 Mar The Western journal of medicine West. J. Med. Endotracheal intubation and mechanical ventilation following respiratory arrest from high altitude pulmonary edema. 174-6 Litch J A JA Himalayan Rescue Association, Kathmandu, Nepal. jlitch@yahoo.com eng Case Reports Journal Article United States West J Med 0410504 0093-0415 AIM (...) IM Adult Altitude Sickness Fatal Outcome Humans Intubation, Intratracheal Male Pulmonary Edema complications Respiration, Artificial Respiratory Insufficiency etiology therapy 1999 4 24 1999 4 24 0 1 1999 4 24 0 0 ppublish 10214107 PMC1305538 Clin Chest Med. 1985 Sep;6(3):491-507 3907949 West J Med. 1997 Sep;167(3):180-1 9308415 N Engl J Med. 1994 Apr 14;330(15):1056-61 8080509 West J Med. 1980 Oct;133(4):335-7 7347049 Wilderness Environ Med. 1996 Aug;7(3):259-60 11990122

1999 Western Journal of Medicine PubMed

466. Effects of inhaled nitric oxide and oxygen in high-altitude pulmonary edema. (PubMed)

Effects of inhaled nitric oxide and oxygen in high-altitude pulmonary edema. High-altitude pulmonary edema (HAPE) is characterized by pulmonary hypertension, increased pulmonary capillary permeability, and hypoxemia. Treatment is limited to descent to lower altitude and administration of oxygen.We studied the acute effects of inhaled nitric oxide (NO), 50% oxygen, and a mixture of NO plus 50% oxygen on hemodynamics and gas exchange in 14 patients with HAPE. Each gas mixture was given in random

1998 Circulation

467. [Low-concentration nitrous oxide inhalation in the treatment of high-altitude pulmonary edema]. (PubMed)

[Low-concentration nitrous oxide inhalation in the treatment of high-altitude pulmonary edema]. To investigate the therapeutic effect of low-concentration of nitroic oxide (NO) inhalation in high-altitude pulmonary edema.Sixty-five male patients with high-altitude pulmonary edema were randomized into three groups. Patients in the conventional therapy group received oxygen, intravenous furosemide, aminophylline and dexamethasone; patients in the nifedipine group received oral nifedipine (10 mg (...) of the nifedipine group (2.4 +/- 1.4 d, 4.1 +/- 1.7 d, 6.8 +/- 1.8 d, respectively) and the conventional therapy group (3.7 +/- 1.2 d, 5.5 +/- 1.8 d, 9.6 +/- 3.1 d, respectively).Low-concentration NO inhalation on the basis of conventional and nifedipine therapies was very effective in the treatment of high-altitude pulmonary edema, which deserves further and larger scale investigation.

1998 Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese journal of tuberculosis and respiratory diseases

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