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Related Experiment Videos

Acute mountain sickness: increased severity in eucapnic hypoxia.

J T Maher, A Cymerman, J T Reeves

    Aviation, Space, and Environmental Medicine
    |June 1, 1975
    PubMed
    Summary

    Preventing hypocapnia (low CO2) did not alleviate acute mountain sickness (AMS) symptoms. Normocapnic subjects experienced more severe AMS than hypocapnic subjects, suggesting CO2 addition may worsen symptoms at high altitude.

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    Area of Science:

    • Physiology
    • Altitude Medicine
    • Environmental Health

    Background:

    • Acute mountain sickness (AMS) is a common condition at high altitudes.
    • The role of hypocapnia and alkalosis in AMS pathophysiology is debated.
    • Previous studies suggested CO2 supplementation might alleviate AMS symptoms.

    Purpose of the Study:

    • To test the hypothesis that preventing hypocapnia and alkalosis would ameliorate AMS symptoms.
    • To investigate the effect of normocapnia versus hypocapnia on AMS severity under simulated high altitude conditions.

    Main Methods:

    • Five subjects were exposed to simulated high altitude with CO2 added to maintain normocapnia.
    • Four subjects were exposed to simulated high altitude without CO2, resulting in hypocapnia.

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  • Alveolar oxygen tensions were kept comparable between groups by adjusting barometric pressure.
  • Main Results:

    • Normocapnic subjects exhibited greater AMS symptom severity compared to hypocapnic subjects.
    • Prevention of hypocapnia did not alleviate AMS symptoms.
    • CO2 addition in comparably hypoxic groups augmented AMS symptoms, potentially due to increased cerebral vasodilation.

    Conclusions:

    • The hypothesis that preventing hypocapnia and alkalosis would ameliorate AMS was not supported.
    • CO2 supplementation may exacerbate AMS symptoms, contrary to some previous findings.
    • Findings suggest that hypocapnia might offer some protection against AMS, possibly through mechanisms other than hypoxia relief.