Cardiac Surgery Dept., ASO "Maggiore della Carità" University Hospital, Novara, Italy; Central Medical Commission, Italian Alpine Club, Italy; Medical Commission of the Union Internationale des Associations d'Alpinisme (UIAA MedCom), Bern, Switzerland.
British Mountaineering Council, Manchester, UK.
Travel Med Infect Dis. 2014 May-Jun;12(3):237-52. doi: 10.1016/j.tmaid.2014.02.004. Epub 2014 Mar 2.
The number of persons visiting high altitude regions for various purposes (recreation, business etc.), and the age of people who do so, increases. Therefore there are more and more patients who need specific and individual advice to prevent emergency situations at altitude and to deal with emergencies if the safety strategy should fail. Since literature concerning cardiocirculatory diseases at altitude is scarce and studies with a controlled setting and high evidence level are missing, UIAA MedCom has checked all available literature for specific information to enable physicians who are active in travel or high altitude medicine to advise the patients at the highest possible level of evidence. It must be pointed out that there are several other medical fields where such information is mandatory, e.g. in occupational medicine, when employees depart to high altitude destinations for business purposes. The recommendations are based on a detailed literature research (databases, handbooks and the respective references). For easier use the paper has been structured as follows: general information, cardiocirculatory system and ECG at altitude, several cardiocirculatory diseases and their specific recommendations. The commission concludes, that a general "don't go!" is no state-of-the-art advice for the patients. With the information presented here a safe trip to altitude should be possible for many patients.
前往高海拔地区的人数（休闲、商务等）和前往高海拔地区的人群年龄都在增加。因此，越来越多的患者需要特定的个性化建议，以预防高海拔地区的紧急情况，并在安全策略失败时应对紧急情况。由于有关高原心血管疾病的文献稀缺，并且缺乏具有对照条件和高证据水平的研究，UIAA MedCom 已检查了所有可用的文献，以获取特定信息，使在旅行或高原医学领域活跃的医生能够以尽可能高的证据水平为患者提供建议。必须指出的是，还有其他几个医学领域需要此类信息，例如在职业医学中，当员工出于商务目的前往高海拔目的地时。这些建议是基于详细的文献研究（数据库、手册和各自的参考文献）。为了便于使用，本文采用了以下结构：一般信息、高原心血管系统和心电图、几种心血管疾病及其具体建议。委员会得出结论，对于患者来说，笼统地说“不要去！”不是最新的建议。通过这里提供的信息，许多患者应该可以安全地前往高原地区。
