Acute Mountain Sickness - Prediction and Treatment During Climbing Expeditions
Department of Sports and Exercise Medicine Institute of Clinical Medicine, University of Helsinki, Helsinki, Finland ACUTE MOUNTAIN SICKNESS - PREDICTION AND TREATMENT DURING CLIMBING EXPEDITIONS HEIKKI KARINEN ACADEMIC DISSERTATION To be presented, with the permission of the Faculty of Medicine of the University of Helsinki, for public examination in Lecture Hall 1, Haartmaninkatu 3, Helsinki on 27th of September 2013, at 12 noon. Helsinki 2013 1 KARINEN – Acute Mountain Sickness - Prediction and Treatment During Climbing Expeditions Supervised by: Heikki O Tikkanen, MD, DMSc, Adjunct Professor (Docent), 1, 2 and Juha E Peltonen, PhD, Adjunct Professor (Docent). 1, 2 1Department of Sports and Exercise Medicine, Institute of Clinical Medicine, Faculty of Medicine, University of Helsinki, Helsinki, Finland, 2Foundation for Sports and Exercise Medicine, Helsinki. Finland Reviewers appointed by the Faculty: Kari J Antila, MD, DMSc, Adjunct Professor Department of Clinical Physiology and Nuclear Medicine University of Turku, Turku, Finland and Mikko Tulppo, PhD, Adjunct Professor Director of the Department of Exercise and Medical Physiology Verve, Oulu, Finland Official opponent: Olli J Heinonen, MD, DMSc, Professor Paavo Nurmi Centre and Department Health & Physical Activity University of Turku, Turku, Finland ISBN 978-952-93-2686-0 Unigrafia Helsinki 2013 2 ACUTE MOUNTAIN SICKNESS - PREDICTION AND TREATMENT DURING CLIMBING EXPEDITIONS HEIKKI KARINEN 3 KARINEN – Acute Mountain Sickness - Prediction and Treatment During Climbing Expeditions ABSTRACT Acute mountain sickness (AMS) is a common problem while ascending at high altitude. AMS may progress rapidly with fatal results if the acclimatization process fails or symptoms are neglected and the ascent continues. It affects 25% of those ascending to altitudes of 1850 to 2750 m, 42% at altitudes of 3000 m, and even 84% of those attempting a tourist flight to Lhasa, Tibet (3860 m).
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