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. Investigation, within 3 days of transfer to 300 m, showed polycythaemia, cardiomegaly with right ventricular enlargement, and (in 17) pericardial effusion. The heart failure resolved rapidly after transfer from high altitude.
Anand
I S
IS
Department of Cardiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Malhotra
R M
RM
Chandrashekhar
Y
Y
Bali
H K
HK
Chauhan
S S
SS
Jindal
S K
SK
Bhandari
R K
RK
Wahi
P L
PL
D000208:Acute Disease; D000328:Adult; D000532:Altitude Sickness / Q000209:etiology* / Q000503:physiopathology; D003080:Cold Temperature / Q000009:adverse effects; D004231:Diuresis; D006333:Heart Failure / Q000150:complications / Q000209:etiology* / Q000503:physiopathology; D006439:Hemodynamics; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications / Q000209:etiology* / Q000503:physiopathology; D000860:Hypoxia / Q000209:etiology*; D007194:India; D008297:Male; D008889:Military Personnel; D012129:Respiratory Function Tests; D013577:Syndrome; D013997:Time Factors