Thin Air Resulting in High Pressure: Mountain Sickness and Hypoxia-Induced Pulmonary Hypertension

With rising altitude the partial pressure of oxygen falls. This phenomenon leads to hypobaric hypoxia at high altitude. Since more than 140 million people permanently live at heights above 2500 m and more than 35 million travel to these heights each year, understanding the mechanisms resulting in ac...

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Main Authors: Jan Grimminger, Manuel Richter, Khodr Tello, Natascha Sommer, Henning Gall, Hossein Ardeschir Ghofrani
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Canadian Respiratory Journal
Online Access:http://dx.doi.org/10.1155/2017/8381653
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author Jan Grimminger
Manuel Richter
Khodr Tello
Natascha Sommer
Henning Gall
Hossein Ardeschir Ghofrani
author_facet Jan Grimminger
Manuel Richter
Khodr Tello
Natascha Sommer
Henning Gall
Hossein Ardeschir Ghofrani
author_sort Jan Grimminger
collection DOAJ
description With rising altitude the partial pressure of oxygen falls. This phenomenon leads to hypobaric hypoxia at high altitude. Since more than 140 million people permanently live at heights above 2500 m and more than 35 million travel to these heights each year, understanding the mechanisms resulting in acute or chronic maladaptation of the human body to these circumstances is crucial. This review summarizes current knowledge of the body’s acute response to these circumstances, possible complications and their treatment, and health care issues resulting from long-term exposure to high altitude. It furthermore describes the characteristic mechanisms of adaptation to life in hypobaric hypoxia expressed by the three major ethnic groups permanently dwelling at high altitude. We additionally summarize current knowledge regarding possible treatment options for hypoxia-induced pulmonary hypertension by reviewing in vitro, rodent, and human studies in this area of research.
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issn 1198-2241
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language English
publishDate 2017-01-01
publisher Wiley
record_format Article
series Canadian Respiratory Journal
spelling doaj-art-684d2a3dca6a4dcdb0d08c5c01a0ee692025-02-03T05:52:48ZengWileyCanadian Respiratory Journal1198-22411916-72452017-01-01201710.1155/2017/83816538381653Thin Air Resulting in High Pressure: Mountain Sickness and Hypoxia-Induced Pulmonary HypertensionJan Grimminger0Manuel Richter1Khodr Tello2Natascha Sommer3Henning Gall4Hossein Ardeschir Ghofrani5Department of Internal Medicine, University Clinic Hamburg Eppendorf, University of Hamburg, Martinistrasse 52, 20246 Hamburg, GermanyDepartment of Internal Medicine, Justus Liebig University Giessen, Universities of Giessen and Marburg Lung Center (UGMLC), Klinikstrasse 33, 35392 Giessen, GermanyDepartment of Internal Medicine, Justus Liebig University Giessen, Universities of Giessen and Marburg Lung Center (UGMLC), Klinikstrasse 33, 35392 Giessen, GermanyDepartment of Internal Medicine, Justus Liebig University Giessen, Universities of Giessen and Marburg Lung Center (UGMLC), Klinikstrasse 33, 35392 Giessen, GermanyDepartment of Internal Medicine, Justus Liebig University Giessen, Universities of Giessen and Marburg Lung Center (UGMLC), Klinikstrasse 33, 35392 Giessen, GermanyDepartment of Internal Medicine, Justus Liebig University Giessen, Universities of Giessen and Marburg Lung Center (UGMLC), Klinikstrasse 33, 35392 Giessen, GermanyWith rising altitude the partial pressure of oxygen falls. This phenomenon leads to hypobaric hypoxia at high altitude. Since more than 140 million people permanently live at heights above 2500 m and more than 35 million travel to these heights each year, understanding the mechanisms resulting in acute or chronic maladaptation of the human body to these circumstances is crucial. This review summarizes current knowledge of the body’s acute response to these circumstances, possible complications and their treatment, and health care issues resulting from long-term exposure to high altitude. It furthermore describes the characteristic mechanisms of adaptation to life in hypobaric hypoxia expressed by the three major ethnic groups permanently dwelling at high altitude. We additionally summarize current knowledge regarding possible treatment options for hypoxia-induced pulmonary hypertension by reviewing in vitro, rodent, and human studies in this area of research.http://dx.doi.org/10.1155/2017/8381653
spellingShingle Jan Grimminger
Manuel Richter
Khodr Tello
Natascha Sommer
Henning Gall
Hossein Ardeschir Ghofrani
Thin Air Resulting in High Pressure: Mountain Sickness and Hypoxia-Induced Pulmonary Hypertension
Canadian Respiratory Journal
title Thin Air Resulting in High Pressure: Mountain Sickness and Hypoxia-Induced Pulmonary Hypertension
title_full Thin Air Resulting in High Pressure: Mountain Sickness and Hypoxia-Induced Pulmonary Hypertension
title_fullStr Thin Air Resulting in High Pressure: Mountain Sickness and Hypoxia-Induced Pulmonary Hypertension
title_full_unstemmed Thin Air Resulting in High Pressure: Mountain Sickness and Hypoxia-Induced Pulmonary Hypertension
title_short Thin Air Resulting in High Pressure: Mountain Sickness and Hypoxia-Induced Pulmonary Hypertension
title_sort thin air resulting in high pressure mountain sickness and hypoxia induced pulmonary hypertension
url http://dx.doi.org/10.1155/2017/8381653
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