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[High altitude sojourn in lung diseases]

P H Braun

    Therapeutische Umschau. Revue Therapeutique
    |April 1, 1993
    PubMed
    Summary

    Patients with pulmonary diseases can surprisingly tolerate medium altitudes. Individual assessment is crucial, differentiating between reversible and irreversible lung conditions for accurate high-altitude fitness evaluation.

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    Area of Science:

    • Pulmonary Medicine
    • Altitude Physiology

    Context:

    • Patients with reduced respiratory reserves often live at higher altitudes.
    • Medium altitudes (1500-2500m) are surprisingly well-tolerated by these patients.
    • Individual assessment is necessary to determine high-altitude fitness.

    Purpose:

    • To evaluate the high-altitude tolerance in patients with pulmonary diseases.
    • To differentiate between reversible and irreversible pulmonary conditions regarding altitude adaptation.
    • To inform clinical decisions for patients with chronic obstructive pulmonary diseases and co-existing coronary heart diseases.

    Summary:

    • Many patients with obstructive pulmonary disease tolerate medium altitudes well, despite reduced oxygen levels.
    • Irreversible conditions like emphysema or fibrosis may feel better in mountain air but have less physical fitness.
    • Adaptation potential varies significantly between reversible and irreversible pulmonary diseases.

    Impact:

    • Highlights the need for individualized patient assessment for high-altitude exposure.
    • Informs management strategies for pulmonary patients considering travel or relocation to medium altitudes.
    • Emphasizes the importance of considering comorbidities like coronary heart disease in altitude tolerance assessments.

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