Risk Stratification for Athletes and Adventurers in High-Altitude Environments: Recommendations for Preparticipation Evaluation

Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine
Aaron CampbellPeter Hackett

Abstract

High-altitude athletes and adventurers face a number of environmental and medical risks. Clinicians often advise participants or guiding agencies before or during these experiences. Preparticipation evaluation (PPE) has the potential to reduce risk of high-altitude illnesses in athletes and adventurers. Specific conditions susceptible to high-altitude exacerbation also important to evaluate include cardiovascular and lung diseases. Recommendations by which to counsel individuals before participation in altitude sports and adventures are few and of limited focus. We reviewed the literature, collected expert opinion, and augmented principles of a traditional sport PPE to accommodate the high-altitude wilderness athlete/adventurer. We present our findings with specific recommendations on risk stratification during a PPE for the high-altitude athlete/adventurer.

References

Dec 10, 2002·Medicine and Science in Sports and Exercise·Michael SchneiderPeter Bartsch
Jul 2, 2004·Wilderness & Environmental Medicine·Timothy S TalbotIan S Wedmore
Mar 19, 2005·International Journal of Sports Medicine·F DurandC Préfaut
Aug 3, 2005·High Altitude Medicine & Biology·Carlos PescePeter Bärtsch
Nov 29, 2005·European Journal of Applied Physiology·Jon Peter Wehrlin, Jostein Hallén
Apr 3, 2007·The European Respiratory Journal·A M Luks, E R Swenson
Jun 11, 2009·Scandinavian Journal of Medicine & Science in Sports·S BackeT Timpka
Dec 25, 2009·Wilderness & Environmental Medicine·Andrew J DaviesJon Naylor
Apr 27, 2010·Progress in Cardiovascular Diseases·Martin Burtscher, Andrea Ponchia
Jul 2, 2010·Wilderness & Environmental Medicine·Scott E McIntoshColin K Grissom
Dec 29, 2012·High Altitude Medicine & Biology·Scott E McIntoshColin K Grissom
Jan 8, 2014·Wilderness & Environmental Medicine·Daniel Doan, Andrew M Luks

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Citations

Feb 13, 2016·Sports Health·Morteza KhodaeeKarin VanBaak
Feb 21, 2016·Sports Health·Edward M Wojtys

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