Acute mountain sickness: pathophysiology and prevention

This review discusses the epidemiology, pathophysiology, prevention and treatment of acute mountain sickness (AMS). Key mechanisms including changes in blood-brain barrier permeability, activation of the renin-angiotensin-aldosterone system and the role of diuresis in the development of AMS are ana...

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Main Authors: PAWEŁ MOCZYDŁOWSKI, Karolina Kuczapska, Anna Gliwa, Monika Ryglewicz, Dariusz Fabian, Elżbieta Leszczyńska-Knaga, Natalia Jakubczyk, Weronika Rutkowska-Kawalec, Marek Kurowski, Karolina Michalczuk
Format: Article
Language:English
Published: Nicolaus Copernicus University in Toruń 2025-01-01
Series:Quality in Sport
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Online Access:https://apcz.umk.pl/QS/article/view/57019
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author PAWEŁ MOCZYDŁOWSKI
Karolina Kuczapska
Anna Gliwa
Monika Ryglewicz
Dariusz Fabian
Elżbieta Leszczyńska-Knaga
Natalia Jakubczyk
Weronika Rutkowska-Kawalec
Marek Kurowski
Karolina Michalczuk
author_facet PAWEŁ MOCZYDŁOWSKI
Karolina Kuczapska
Anna Gliwa
Monika Ryglewicz
Dariusz Fabian
Elżbieta Leszczyńska-Knaga
Natalia Jakubczyk
Weronika Rutkowska-Kawalec
Marek Kurowski
Karolina Michalczuk
author_sort PAWEŁ MOCZYDŁOWSKI
collection DOAJ
description This review discusses the epidemiology, pathophysiology, prevention and treatment of acute mountain sickness (AMS). Key mechanisms including changes in blood-brain barrier permeability, activation of the renin-angiotensin-aldosterone system and the role of diuresis in the development of AMS are analysed. The effectiveness of various preventive strategies, such as acclimatisation and pharmacotherapy (acetazolamide, dexamethasone, ibuprofen), as well as alternative approaches, including the use of natural remedies such as Rhodiola roses, coca leaves and Ginkgo biloba, are discussed. The paper emphasises the importance of correct diagnosis and prompt action in the treatment of AMS, which is crucial in preventing complications.   Material and methods Data  bases  such  as  Pubmed  and  GoogleScholar  were  used  for  research  with  the  key  words: acute mountain illness (AMS), acetazolamid, dexametazone, altitude, prevention, acclimatisation.   Conclusions Acute altitude sickness is a challenge in terms of understanding pathophyslogy and effective treatment methods. The primary methods of preventing AMS are properly managed acclimatisation and the use of acetazolamide. Other pharmacological and natural measures require further research.
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institution Kabale University
issn 2450-3118
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publishDate 2025-01-01
publisher Nicolaus Copernicus University in Toruń
record_format Article
series Quality in Sport
spelling doaj-art-2c774327eb394c2d934e43d1704bb0042025-01-21T08:23:01ZengNicolaus Copernicus University in ToruńQuality in Sport2450-31182025-01-013710.12775/QS.2025.37.57019Acute mountain sickness: pathophysiology and preventionPAWEŁ MOCZYDŁOWSKI0https://orcid.org/0009-0007-1555-2958Karolina Kuczapskahttps://orcid.org/0000-0002-5921-1094Anna Gliwahttps://orcid.org/0009-0006-0251-0591Monika Ryglewiczhttps://orcid.org/0009-0006-1063-2265Dariusz Fabianhttps://orcid.org/0009-0006-7241-7245Elżbieta Leszczyńska-Knagahttps://orcid.org/0009-0007-5584-8614Natalia Jakubczykhttps://orcid.org/0009-0008-3190-4658Weronika Rutkowska-Kawalechttps://orcid.org/0009-0002-4283-6458Marek Kurowskihttps://orcid.org/0009-0008-2831-3312Karolina Michalczukhttps://orcid.org/0000-0002-4427-9133Szpital Miejski Specjalistyczny im. Gabriela Narutowicza w Krakowie This review discusses the epidemiology, pathophysiology, prevention and treatment of acute mountain sickness (AMS). Key mechanisms including changes in blood-brain barrier permeability, activation of the renin-angiotensin-aldosterone system and the role of diuresis in the development of AMS are analysed. The effectiveness of various preventive strategies, such as acclimatisation and pharmacotherapy (acetazolamide, dexamethasone, ibuprofen), as well as alternative approaches, including the use of natural remedies such as Rhodiola roses, coca leaves and Ginkgo biloba, are discussed. The paper emphasises the importance of correct diagnosis and prompt action in the treatment of AMS, which is crucial in preventing complications.   Material and methods Data  bases  such  as  Pubmed  and  GoogleScholar  were  used  for  research  with  the  key  words: acute mountain illness (AMS), acetazolamid, dexametazone, altitude, prevention, acclimatisation.   Conclusions Acute altitude sickness is a challenge in terms of understanding pathophyslogy and effective treatment methods. The primary methods of preventing AMS are properly managed acclimatisation and the use of acetazolamide. Other pharmacological and natural measures require further research. https://apcz.umk.pl/QS/article/view/57019mountain sportsacute mountain sickness
spellingShingle PAWEŁ MOCZYDŁOWSKI
Karolina Kuczapska
Anna Gliwa
Monika Ryglewicz
Dariusz Fabian
Elżbieta Leszczyńska-Knaga
Natalia Jakubczyk
Weronika Rutkowska-Kawalec
Marek Kurowski
Karolina Michalczuk
Acute mountain sickness: pathophysiology and prevention
Quality in Sport
mountain sports
acute mountain sickness
title Acute mountain sickness: pathophysiology and prevention
title_full Acute mountain sickness: pathophysiology and prevention
title_fullStr Acute mountain sickness: pathophysiology and prevention
title_full_unstemmed Acute mountain sickness: pathophysiology and prevention
title_short Acute mountain sickness: pathophysiology and prevention
title_sort acute mountain sickness pathophysiology and prevention
topic mountain sports
acute mountain sickness
url https://apcz.umk.pl/QS/article/view/57019
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AT karolinakuczapska acutemountainsicknesspathophysiologyandprevention
AT annagliwa acutemountainsicknesspathophysiologyandprevention
AT monikaryglewicz acutemountainsicknesspathophysiologyandprevention
AT dariuszfabian acutemountainsicknesspathophysiologyandprevention
AT elzbietaleszczynskaknaga acutemountainsicknesspathophysiologyandprevention
AT nataliajakubczyk acutemountainsicknesspathophysiologyandprevention
AT weronikarutkowskakawalec acutemountainsicknesspathophysiologyandprevention
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