Interstitial lung fluid balance in healthy lowlanders exposed to high-altitude

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Taylor, BJ
Stewart, GM
Marck, JW
Summerfield, DT
Issa, AN
Johnson, BD
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2017
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Abstract

We aimed to assess lung fluid balance before and after gradual ascent to 5150 m. Lung diffusion capacity for carbon monoxide (DLCO), alveolar-capillary membrane conductance (DmCO) and ultrasound lung comets (ULCs) were assessed in 12 healthy lowlanders at sea-level, and on Day 1, Day 5 and Day 9 after arrival at Mount Everest Base Camp (EBC). EBC was reached following an 8-day hike at progressively increasing altitudes starting at 2860 m. DLCO was unchanged from sea-level to Day 1 at EBC, but increased on Day 5 (11 ± 10%) and Day 9 (10 ± 9%) vs. sea-level (P ≤ 0.047). DmCO increased from sea-level to Day 1 (9 ± 6%), Day 5 (12 ± 8%), and Day 9 (17 ± 11%) (all P ≤ 0.001) at EBC. There was no change in ULCs from sea-level to Day 1, Day 5 and Day 9 at EBC. These data provide evidence that interstitial lung fluid remains stable or may even decrease relative to at sea-level following 8 days of gradual exposure to high-altitude in healthy humans.

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Respiratory Physiology and Neurobiology

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243

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© 2017 Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.

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Cardiovascular medicine and haematology

Medical physiology

Neurosciences

High-altitude pulmonary oedema

Hypoxia

Lung diffusing capacity

Ultrasound lung comets

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Taylor, BJ; Stewart, GM; Marck, JW; Summerfield, DT; Issa, AN; Johnson, BD, Interstitial lung fluid balance in healthy lowlanders exposed to high-altitude, Respiratory Physiology and Neurobiology, 2017, 243, pp. 77-85

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