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[Pulmonary edema in high altitude].

H Villalón, E Veloz

    Revista Chilena De Pediatria
    |March 1, 1989
    PubMed
    Summary

    High altitude pulmonary edema (Hurtado's disease) presents within 72 hours of arrival at high elevations. Prompt treatment with oxygen and diuretics leads to rapid recovery.

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    Area of Science:

    • Pulmonary Medicine
    • Altitude Physiology
    • Critical Care

    Background:

    • High altitude pulmonary edema (HAPE), also known as Hurtado's disease, is a serious condition.
    • It affects individuals ascending rapidly to high elevations from sea level.
    • Understanding its pathophysiology is crucial for timely intervention.

    Observation:

    • Three cases of HAPE are presented, with symptom onset within 72 hours of altitude exposure.
    • Clinical manifestations included dry cough, shortness of breath, tachycardia, progressive dyspnea, and weakness.
    • Chest auscultation revealed rales and obstructive bronchial signs.

    Findings:

    • HAPE is a noncardiogenic pulmonary edema.
    • Increased pulmonary vascular pressure and permeability are likely key factors.
    • Hypobaric hypoxia is implicated as the underlying cause.

    Implications:

    • Early recognition and treatment of HAPE are essential.
    • Treatment strategies involve oxygen, diuretics, and rest.
    • Effective management leads to satisfactory clinical outcomes within days.

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