Work at High Altitude After Coronary Stenting: Safe?

Wu, Tianyi; Ding, Shou-quan; Kayser, Bengt

doi:10.1016/j.wem.2009.12.010

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Ischaemic Heart Disease1

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2018

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“… 30 Moreover, Wu et al . 32 described the case of a 49-year-old male engineer with a history of CAD treated with 2 drug-eluting stents who, 2 years later, went to work on the Qinghai-Tibet railway (4905 m) for 10 days. ECG, echocardiography, and polysomnography did not show any signs of ischaemia or arrhythmia on multiple trips over 3 years.…”

Section: Ischaemic Heart Diseasementioning

confidence: 99%

Clinical recommendations for high altitude exposure of individuals with pre-existing cardiovascular conditions

Parati

Agostoni

Basnyat

et al. 2018

European Heart Journal

151

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Take home figureAdapted from Bärtsch and Gibbs2 Physiological response to hypoxia. Life-sustaining oxygen delivery, in spite of a reduction in the partial pressure of inhaled oxygen between 25% and 60% (respectively at 2500 m and 8000 m), is ensured by an increase in pulmonary ventilation, an increase in cardiac output by increasing heart rate, changes in vascular tone, as well as an increase in haemoglobin concentration. BP, blood pressure; HR, heart rate; PaCO2, partial pressure of arterial carbon dioxide.

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Section: Ischaemic Heart Diseasementioning

confidence: 99%