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. 1990 Mar 10;335(8689):561-5.
doi: 10.1016/0140-6736(90)90348-9.

Adult subacute mountain sickness--a syndrome of congestive heart failure in man at very high altitude

I S Anand  1 , R M Malhotra, Y Chandrashekhar, H K Bali, S S Chauhan, S K Jindal, R K Bhandari, P L Wahi
Affiliations

Adult subacute mountain sickness--a syndrome of congestive heart failure in man at very high altitude

I S Anand et al. Lancet. .

Abstract

A new type of mountain sickness is described. 21 men (age 22.2, standard deviation [SD] 1.8 years) had severe congestive heart failure with oedema and ascites after 10.8 (SD 5.9) weeks at altitudes of 5800-6700 m. Investigation, within 3 days of transfer to 300 m, showed polycythaemia, cardiomegaly with right ventricular enlargement, and (in 17) pericardial effusion. The heart failure resolved rapidly after transfer from high altitude.

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