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Emergency medicine, wilderness medicine. High-altitude pulmonary edema (HAPE) is a life-threatening form of non-cardiogenic pulmonary edema that occurs in otherwise healthy people at altitudes typically above 2,500 meters (8,200 ft). [2] However, cases have also been reported between 1,500–2,500 metres or 4,900–8,200 feet in more vulnerable ...
At very high altitude, 3,500 to 5,500 metres (11,500 to 18,000 ft), maximum SaO 2 falls below 90% as the arterial PO 2 falls below 60mmHg. Extreme hypoxemia may occur during exercise, during sleep, and in the presence of high altitude pulmonary edema or other acute lung conditions. Severe altitude illness occurs most commonly in this range.
Some causes of pulmonary edema are less well characterized and arguably represent specific instances of the broader classifications above. Arteriovenous malformation; Hantavirus pulmonary syndrome; High altitude pulmonary edema (HAPE) [33] [34] Envenomation, such as with the venom of Atrax robustus [35]
Very high altitude = 3,500–5,500 metres (11,500–18,000 ft) Extreme altitude = above 5,500 metres (18,000 ft) Travel to each of these altitude regions can lead to medical problems, from the mild symptoms of acute mountain sickness to the potentially fatal high-altitude pulmonary edema and high-altitude cerebral edema .
High-altitude mountaineering can induce pulmonary hypoxia due to decreased atmospheric pressure. This hypoxia causes vasoconstriction that ultimately leads to high altitude pulmonary edema (HAPE). For this reason, some climbers carry supplemental oxygen to prevent hypoxia, edema, and HAPE.
At very high altitude, from 3,500 to 5,500 metres (11,500 to 18,000 ft) arterial oxygen saturation falls below 90% and arterial P O 2 is reduced to the extent that extreme hypoxemia may occur during exercise and sleep, and if high altitude pulmonary edema occurs. In this range severe altitude illness is common. [2]