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JAMA Clinical Guidelines Synopsis
October 24, 2024

Prevention, Diagnosis, and Treatment of Acute Altitude Illness

Author Affiliations
  • 1UCHealth, University of Colorado, Aurora
  • 2University of Chicago Medicine, Chicago, Illinois
JAMA. 2024;332(19):1665-1666. doi:10.1001/jama.2024.19562

People traveling to high altitude are at risk of developing acute altitude illnesses, including AMS, HACE, and HAPE. Incidence and risk are assessed by history of acute altitude illness, sleeping elevation above sea level on day 1 of travel, and rate of ascent. AMS incidence can range from approximately 3% in persons traveling to 2000 m (6561 ft) to 25% to 40% at altitudes above 4300 m (14 107 ft),1,2 with symptoms varying from mild to marked.3 While rare, HACE and HAPE are potentially life-threatening if untreated.

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