Literature DB >> 22656656

Oximetry fails to predict acute mountain sickness or summit success during a rapid ascent to 5640 meters.

Dale R Wagner1, Jonathan R Knott, Jack P Fry.   

Abstract

OBJECTIVE: The purpose of this study was to determine whether arterial oxygen saturation (Spo(2)) and heart rate (HR), as measured by a finger pulse oximeter on rapid arrival to 4260 m, could be predictive of acute mountain sickness (AMS) or summit success on a climb to 5640 m.
METHODS: Climbers (35.0 ± 10.1 years; 51 men, 5 women) were transported from 2650 m to the Piedra Grande hut at 4260 m on Pico de Orizaba within 2 hours. After a median time of 10 hours at the hut, they climbed toward the summit (5640 m) and returned, with a median trip time of 14 hours. The Lake Louise Self-Assessment Scale (LLSS) for AMS, HR, and Spo(2) were collected on arrival at the hut and repeated immediately before and after the climbers' summit attempts.
RESULTS: Average Spo(2) for all participants at 4260 m before their departure for the summit was 84.4% ± 3.7%. Thirty-seven of the 56 participants reached the summit, and 59% of all climbers met the criteria for AMS during the ascent. The Spo(2) was not significantly different between those who experienced AMS and those who did not (P = .82); neither was there a difference in Spo(2) between summiteers and nonsummiteers (P = .44). Climbers' HR just before the summit attempt was not related to AMS but was significantly lower for summiteers vs nonsummiteers (P = .04).
CONCLUSIONS: The Spo(2) does not appear to be predictive of AMS or summit success during rapid ascents.
Copyright © 2012 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.

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Year:  2012        PMID: 22656656     DOI: 10.1016/j.wem.2012.02.015

Source DB:  PubMed          Journal:  Wilderness Environ Med        ISSN: 1080-6032            Impact factor:   1.518


  7 in total

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Journal:  High Alt Med Biol       Date:  2014-12       Impact factor: 1.981

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3.  Physiological responses during ascent to high altitude and the incidence of acute mountain sickness.

Authors:  Alexandra B Cobb; Denny Z H Levett; Kay Mitchell; Wynne Aveling; Daniel Hurlbut; Edward Gilbert-Kawai; Philip J Hennis; Monty G Mythen; Michael P W Grocott; Daniel S Martin
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4.  Baseline Psychological Traits Contribute to Lake Louise Acute Mountain Sickness Score at High Altitude.

Authors:  Benjamin James Talks; Catherine Campbell; Stephanie J Larcombe; Lucy Marlow; Sarah L Finnegan; Christopher T Lewis; Samuel J E Lucas; Olivia K Harrison; Kyle T S Pattinson
Journal:  High Alt Med Biol       Date:  2022-03       Impact factor: 1.981

5.  High altitude pulmonary edema among "Amarnath Yatris".

Authors:  Parvaiz A Koul; Umar Hafiz Khan; Tajamul Hussain; Ajaz Nabi Koul; Sajjad Malik; Sanaullah Shah; Sajjad Rajab Bazaz; Wasim Rashid; Rafi Ahmad Jan
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6.  The Magnitude of Diving Bradycardia During Apnea at Low-Altitude Reveals Tolerance to High Altitude Hypoxia.

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Review 7.  Contribution of Hypoxic Exercise Testing to Predict High-Altitude Pathology: A Systematic Review.

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  7 in total

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