Description

Ascent to a high altitude may involve a number of changes that predispose a person to a thromboembolic event. These can have a devastating effect, especially if treatment is delayed.


 

Types of thromboembolic events:

(1) stroke

(2) transient ischemic attack

(3) pulmonary embolism

(4) deep vein thrombosis

 

Risk factors for a thromboembolic event:

(1) pre-existing hypercoagulable state

(2) polycythemia

(3) dehydration

(4) cold injury

(5) venous stasis from inactivity, tight clothing or constricting equipment straps

(6) ascent to > 4,200 meters (> 13,800 feet)

(7) immobilization of a limb following injury

(8) oral contraceptives or other procoagulant drugs

 

Risk factors for complications if a thromboembolic event occurs:

(1) onset of paralysis while climbing

(2) delayed evacuation due to inclement weather

(3) significant thromboembolic event (stroke, pulmonary embolism, etc.)

 

Preventive measures:

(1) Keeping warm.

(2) Keeping active.

(3) Minimizing areas of constriction.

(4) Maintaining hydration.

(5) Having a reasonable rate of ascent with acclimatization.

(6) Consider prophylaxis in high risk patients (or else discourage them from making the ascent).

 


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