High Altitude Pulmonary Oedema – An Experience in Eastern Himalaya

Virmani, Shubi

doi:10.1016/s0377-1237(17)30708-6

Cited by 6 publications

(4 citation statements)

References 14 publications

(13 reference statements)

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“…Preponderance of younger age groups (Table 1) has been reported by previous workers too. 4,6,8,[11][12][13] Younger individuals may generally be more susceptible to HAPE as they are more often assigned physically strenuous tasks than the older individuals. This might be coupled with an inherent recklessness among the younger men.…”

Section: Younger Age Group Commonly Affectedmentioning

confidence: 99%

“…Similar observation was reported by several studies. [5][6][7]9,11 Breathlessness was invariably found to be the most common symptom reported by 93% of cases, followed by cough and headache. Majority of cases (68%) had initially reported their complaints to a medical facility with history of onset of symptoms within a week of induction to HAA.…”

Section: Time Of Symptom Onset Following Entry Into High Altitude Areamentioning

confidence: 99%

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Clinico-epidemiological profile of high altitude pulmonary edema

Adhya¹,

Menon²,

Bhatnagar³

et al. 2020

Int J Community Med Public Health

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Background: With increase in the footfall to mountainous areas for occupational and recreational purposes, tackling the burden of high-altitude illnesses is a growing public health challenge. High-altitude pulmonary edema (HAPE) is a serious medical condition with peculiar epidemiological characteristics. HAPE is a significant cause of morbidity and mortality among Indian soldiers posted to high-altitude areas. Aims and objectives of the study were to study the common clinical presentation of HAPE among Indian army soldiers and to study the association between induction patterns and acclimatization status with the onset of HAPE.Methods: An observational study was undertaken to study the clinical and epidemiological characteristics of all cases of HAPE from years 2016 to 2019, among Indian army soldiers posted to high-altitude areas in Ladakh. Diagnosis was made by the Lake-Louise consensus criteria. Data was entered in Microsoft Excel and descriptive and inferential statistical tools were applied to test for associations between the variables studied.Results: The overall incidence rate of HAPE was found to be 5.91 per 1,000 soldiers with high frequency among young men. Breathlessness, cough, and headache were the common complaints. 69.45% of cases occurred among men who revisited the mountains after a brief sojourn to the plains. At higher altitudes, incidence rates were higher among acclimatized individuals.Conclusions: HAPE occurs more frequently during the subsequent visits compared to first exposure to high altitude. At extreme altitudes, acclimatization protocols do not confer complete protection against HAPE.

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Section: Younger Age Group Commonly Affectedmentioning

confidence: 99%

Section: Time Of Symptom Onset Following Entry Into High Altitude Areamentioning

confidence: 99%

Clinico-epidemiological profile of high altitude pulmonary edema

Adhya¹,

Menon²,

Bhatnagar³

et al. 2020

Int J Community Med Public Health

View full text Add to dashboard Cite

show abstract

“…It is mainly achieved by supplemental oxygen and descent. Patients with severe pulmonary oedema must be immediately moved to a lower altitude [10]. Hyperbaric chamber may be used till the time patient is being transported to a lower altitude.…”

Section: Managementmentioning

confidence: 99%

“…Antibiotics are used if there is any evidence of infection such as purulent sputum or high grade fever. Oxygen and exertion; cold, which increases pulmonary-artery pressure by means of sympathetic stimulation, is also a risk factor [10]. Abnormalities of cardiopulmonary circulation increase the risk of high-altitude pulmonary oedema.…”

Section: Managementmentioning

confidence: 99%