Interestingly, while cardiac proceeds and rate-pressure product at a given activity level tends to be elevated as altitude increases, the maximum possible cardiac output and midpoint rate drop as altitude increases (Wahrenberger, 2003). Similarly, the maximum attainable workload increases with altitude. With acute altitude exposure there are also changes in regional blood flow, with vasoconstriction occurring in the skin, muscles, and viscera, while coronary vasodilation and increased coronary blood flow occurs. Cerebral blood flow appears to remain stable during altitude exposure.
There are also changes in the resting EKG of individuals exposed to high altitude (Wahrenberger, 2003). Recordings were do on the 1981 American Research Expedition to Mount Everest at altitudes of 17,500 ft, 20,500 ft, and 26,200 ft. Electrographic changes record at these heights included an increase in resting heart rate, a right wingward shift in the QRS axis, and an increase in the p-wave bounty in lead 2. The latter two changes were thought to
http://www.dartmouth.edu/~cardio/providereducation/altitude.htm
Burtscher et al (2001) studied 20 voluntary healthy elderly subjects who were randomly assigned to a low altitude (600 m) or a high altitude (2,000 m) group. Both groups increased their daily hiking from 2.5 to 5 hours daily during the 1-week study. Pre- and post-hiking cardiopulmonary variables at rest were measured daily. Exercise tests were performed on days 1, 4, and 7 of the study.
AS far as mountaineering and trekking are concerned, acute altitude-related illness remains a frequent experience of morbidity and mortality in the trekker with or without cardiac ailment (Wahrenberger, 2003).
Adequate training is important, as is control of blood pressure arrhythmias, and opposite cardiac issues, including medication adherence. Slow ascent times should be used to allow for acclimatization - the rule of ovolo being a day of rest after separately 1,000 ft. Descent by the safest and fastest path should be made if altitude sickness symptoms occur.
indicate evidence of right ventricular and right atrial strain from hypoxic-induced pulmonary hypertension. At the highest altitude, cardinal of the 12 participants in the study showed a new right bundle branch block conduction ab frequentity. Three other members of the group showed changes consistent with right ventricular hypertrophy. All of these changes returned to normal on descent from high altitude.
Nishihara, Shimada and Saito (1998) studied tourists to see the set up of altitude on heart rate, blood pressure, arterial oxygen saturation, and electrocardiography before and after Master's double step exercise at 2,700 m and 3,700 m. The test consisted of stepping on and off a 23-cm step for 3 minutes at a shape rate. Resting set did not differ significantly at 2,700 m and at 3,700 m from those obtained at sea level. However, the increases in these values at high altitude were significant, and the rate and pressure more(prenominal) than doubled a
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