Pulmonary Function at High-Altitude
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Purpose
Based on the findings of decreased vital capacity, decreased FEV1 and increased closing volume after ascent to high altitude, some investigators suggest the presence of a subclinical high altitude pulmonary edema (HAPE). Since these parameters are only indirect measures of pulmonary interstitial fluid accumulation, the aim of this study is to examine the effects of broncho-constriction on the increase of closing volume by extensive lung function testing in healthy mountaineers at low altitude and on the Margherita Hut (4559 m). As has been done in earlier studies, conventional thorax radiographs are used for verification of HAPE. In this study, the determination of the thoracic fluid quantity will be completed by measurements of thoracic impedance. In addition markers of pulmonary endothelial function will be assessed to get further insight into the regulation of pulmonary vascular tone at altitude and in particular into the pathophysiology of HAPE.
| Condition | Intervention |
|---|---|
|
Pulmonary Edema |
Other: Hypoxic Exposure |
| Study Type: | Interventional |
| Study Design: | Intervention Model: Single Group Assignment Masking: Open Label |
| Official Title: | Interstitial Pulmonary Edema After Rapid Ascent to High Altitude (Margherita Hut, 4559 m) |
- development of HAPE [ Time Frame: during the 48 h stay at altitude ]
- change of lung function parameters from low to high altitude [ Time Frame: during the 48 h stay at altitude ]
- markers of pulmonary endothelial function [ Time Frame: during the 48 h stay at altitude ]
- quantification of pulmonary interstitial fluid [ Time Frame: during the 48 h stay at altitude ]
| Enrollment: | 34 |
| Study Start Date: | July 2005 |
| Study Completion Date: | August 2005 |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
high altitude exposure
|
Other: Hypoxic Exposure
ascent to 4559 m within 24 h without prior acclimatization
|
Eligibility| Ages Eligible for Study: | 18 Years to 55 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Mountaineering ability required for reaching the Margherita hut (4559 m)
Exclusion Criteria:
- Borne above 1500 m
- Subjects with internal medical diseases like all cardiac diseases, all pulmonary diseases, Diabetes mellitus, infectious diseases, thyroid diseases, malignant diseases, hepatic or renal diseases,
- (Known) hypersensitivity to salbutamol or to another component of sultanol® or lidocaine, or to another component of xylocain® pump spray
- Intake of drugs, especially nifedipine, acetazolamide and glucocorticoids or of drugs interacting with sultanol® or xylocain® pump spray
- Pregnancy
Contacts and Locations| Germany | |
| Sports Medicine, University Hospital | |
| Heidelberg, Germany, 69120 | |
| Principal Investigator: | Christoph Dehnert, MD | University Hospital Heidelberg |
| Principal Investigator: | Marc M Berger, MD | University Hospital Heidelberg |
| Study Director: | Peter Bärtsch, MD, PhD | University Hospital Heidelberg |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00604227 History of Changes |
| Other Study ID Numbers: | M2005 |
| Study First Received: | January 17, 2008 |
| Last Updated: | January 29, 2008 |
| Health Authority: | Germany: Ethics Commission |
Keywords provided by University of Heidelberg:
|
high altitude pulmonary edema pulmonary interstitial fluid pulmonary function testing |
hypoxia pulmonary endothelial function high altitude exposure without prior acclimatization |
Additional relevant MeSH terms:
|
Edema Pulmonary Edema Signs and Symptoms Lung Diseases Respiratory Tract Diseases |
ClinicalTrials.gov processed this record on May 19, 2013