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N Engl J Med. 2013 Jun 13;368(24):2294-302. doi: 10.1056/NEJMcp1214870.

Clinical practice: Acute high-altitude illnesses.

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1
University Clinic, Department of Internal Medicine, Division VII Sports Medicine, Heidelberg, Germany. peter.bartsch@med.uni-heidelberg.de

Abstract

A 45-year-old healthy man wishes to climb Mount Kilimanjaro (5895 m) in a 5-day period, starting at 1800 m. The results of a recent exercise stress test were normal; he runs 10 km 4 or 5 times per week and finished a marathon in less than 4 hours last year. He wants to know how he can prevent becoming ill at high altitude and whether training or sleeping under normobaric hypoxic conditions in the weeks before the ascent would be helpful. What would you advise?

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PMID:
23758234
DOI:
10.1056/NEJMcp1214870
[Indexed for MEDLINE]
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