Document Detail


Catecholamine levels in hypoxia-lnduced acute mountain sickness.
MedLine Citation:
PMID:  19378908     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Enhanced sympathoadrenal activity has been implicated in the pathogenesis of acute mountain sickness (AMS). This study was designed to examine the time course of circulating catecholamines in individuals with and without AMS. METHODS: Subjects were low-altitude residents (10 men, 8 women) who had not been exposed to altitude within the previous 2 mo. They breathed 12% O2 (hypoxia equivalent to 4600 m altitude) for 8 h while seated at rest. AMS was evaluated using Lake Louise scores (LLS) at 0, 1, 3, 5, and 7 h of exposure using a threshold of 3 to define AMS. Blood samples were collected to measure arterial blood gases and oxygen saturation as well as arterial and venous epinephrine (A-EPI and V-EPI) and norepinephrine (A-NE and V-NE). RESULTS: Eight subjects (44%) developed AMS at some time during the experiment. Blood gases showed no significant difference between subjects with or without symptoms (AMS+ and AMS-, respectively). However, AMS+ subjects showed significantly greater concentrations of A-EPI over the 8 h without any between-group difference in V-EPI. Levels of A-NE were significantly higher at baseline and during the first hour of hypoxia in subjects who later developed AMS. V-NE increased significantly over time among all participants with no difference between groups. CONCLUSIONS: These findings suggest a possible physiological marker for individuals who may be relatively susceptible to AMS and provide additional insight into the sympathoadrenal response to acute hypoxia.
Authors:
Gary H Kamimori; Edward J Ryan; Ronald Otterstetter; Jacob E Barkley; Ellen L Glickman; Harry Q Davis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Aviation, space, and environmental medicine     Volume:  80     ISSN:  0095-6562     ISO Abbreviation:  Aviat Space Environ Med     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-04-21     Completed Date:  2009-06-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7501714     Medline TA:  Aviat Space Environ Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  376-80     Citation Subset:  IM; S    
Affiliation:
Department of Behavioral Biology, Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA. gary.kamimori@us.army.mil
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Altitude Sickness / blood*
Anoxia / blood*,  physiopathology
Biological Markers / blood
Blood Gas Analysis
Epinephrine / blood*
Female
Humans
Male
Norepinephrine / blood*
Severity of Illness Index
Young Adult
Chemical
Reg. No./Substance:
0/Biological Markers; 51-41-2/Norepinephrine; 51-43-4/Epinephrine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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