Altitude sickness screening: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Altitude sickness}} | {{Altitude sickness}} | ||
{{CMG}} | {{CMG}} {{AE}} {{F.K}} | ||
==Overview== | ==Overview== | ||
There is insufficient evidence to recommend routine [[screening]] for altitude sickness which include cold pressor test, [[heart rate]] variability, [[pulmonary function test]]. | |||
==Screening== | ==Screening== | ||
*Screening | *[[Screening]] among patients with altitude sickness include:<ref name="pmid24079477">{{cite journal |vauthors=Song H, Ke T, Luo WJ, Chen JY |title=Non-high altitude methods for rapid screening of susceptibility to acute mountain sickness |journal=BMC Public Health |volume=13 |issue= |pages=902 |date=September 2013 |pmid=24079477 |pmc=3852617 |doi=10.1186/1471-2458-13-902 |url=}}</ref><ref name="pmid10423589">{{cite journal |vauthors=Velasco M, Gómez J, Blanco M, Rodriguez I |title=The cold pressor test: pharmacological and therapeutic aspects |journal=Am J Ther |volume=4 |issue=1 |pages=34–8 |date=January 1997 |pmid=10423589 |doi= |url=}}</ref><ref name="pmid14561242">{{cite journal |vauthors=Loeppky JA, Icenogle MV, Maes D, Riboni K, Scotto P, Roach RC |title=Body temperature, autonomic responses, and acute mountain sickness |journal=High Alt. Med. Biol. |volume=4 |issue=3 |pages=367–73 |date=2003 |pmid=14561242 |doi=10.1089/152702903769192322 |url=}}</ref><ref name="pmid421519">{{cite journal |vauthors=Anholm JD, Houston CS, Hyers TM |title=The relationship between acute mountain sickness and pulmonary ventilation at 2,835 meters (9,300 ft) |journal=Chest |volume=75 |issue=1 |pages=33–6 |date=January 1979 |pmid=421519 |doi= |url=}}</ref> | ||
**Cold pressor test | **'''Cold pressor test''' | ||
***Put one hand above the wrist for 1 min in ice water (4-5°C) | ***Put one hand above the wrist for 1 min in ice water (4-5°C) | ||
***Measuring blood pressure on the opposite arm at 15 seconds intervals | ***Measuring blood pressure on the opposite arm at 15 seconds intervals | ||
***Difference between peak and basal blood | ***Difference between peak and basal [[blood pressure]] determines the level of [[vascular]] reactivity | ||
**'''Heart rate variability''' | |||
**Heart rate variability | ***Participants resting in [[supine]] position and wear a chest strap from a [[heart rate]] monitor watch | ||
***Participants resting in supine position and wear a chest strap from a heart | |||
***After 5 minutes rest period, heart rate is collected on a beat-by-beat basis for 10 minutes | ***After 5 minutes rest period, heart rate is collected on a beat-by-beat basis for 10 minutes | ||
**'''Pulmonary function test''' | |||
**Pulmonary function test | ***Measure flow-volume loop, maximal voluntary ventilation, [[forced expiratory volume]] in 1 second (FEV1), [[forced vital capacity]] (FVC) and [[peak expiratory flow]] | ||
***Measure flow-volume loop, maximal voluntary ventilation, forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC) and peak expiratory flow | |||
==References== | ==References== | ||
Latest revision as of 14:06, 19 March 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Farima Kahe M.D. [2]
Overview
There is insufficient evidence to recommend routine screening for altitude sickness which include cold pressor test, heart rate variability, pulmonary function test.
Screening
- Screening among patients with altitude sickness include:[1][2][3][4]
- Cold pressor test
- Put one hand above the wrist for 1 min in ice water (4-5°C)
- Measuring blood pressure on the opposite arm at 15 seconds intervals
- Difference between peak and basal blood pressure determines the level of vascular reactivity
- Heart rate variability
- Participants resting in supine position and wear a chest strap from a heart rate monitor watch
- After 5 minutes rest period, heart rate is collected on a beat-by-beat basis for 10 minutes
- Pulmonary function test
- Measure flow-volume loop, maximal voluntary ventilation, forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC) and peak expiratory flow
- Cold pressor test
References
- ↑ Song H, Ke T, Luo WJ, Chen JY (September 2013). "Non-high altitude methods for rapid screening of susceptibility to acute mountain sickness". BMC Public Health. 13: 902. doi:10.1186/1471-2458-13-902. PMC 3852617. PMID 24079477.
- ↑ Velasco M, Gómez J, Blanco M, Rodriguez I (January 1997). "The cold pressor test: pharmacological and therapeutic aspects". Am J Ther. 4 (1): 34–8. PMID 10423589.
- ↑ Loeppky JA, Icenogle MV, Maes D, Riboni K, Scotto P, Roach RC (2003). "Body temperature, autonomic responses, and acute mountain sickness". High Alt. Med. Biol. 4 (3): 367–73. doi:10.1089/152702903769192322. PMID 14561242.
- ↑ Anholm JD, Houston CS, Hyers TM (January 1979). "The relationship between acute mountain sickness and pulmonary ventilation at 2,835 meters (9,300 ft)". Chest. 75 (1): 33–6. PMID 421519.