The sun. [volume] (New York [N.Y.]) 1833-1916, 1900-01-21
DANGER IN HTGH AITITVDrS.
How Persons With Heart Troubles Are
sometimes Affected.
FROM Ms Lorton Innct.

From he LoFfop fdHce.
The public, and sometimes the mex rererrcd
phydcian-inc1 p~erienced not In general tbe,.
apeutcs, but in the physiological effects ~ altf-
tude on a weak heart make light Of a daup,,
they cannot understand hut il an altitude
of from 1900 To 5000 feet above the sea level
puts q certain amount Of strain on a normal heprt
and by a rise of the blood pressure lndlrectlv
also on the small pertpheral arteries, must me-,
ms acton be multiplied in the case Of a heart
suffering from even an carly stage Of nyOcar.
aus, or IN the case Of arteries with ulckened "a
even calCified walls2
II is especially the rapidly Of tho change from
one altitude 70 another, with difference ~ iron,
5000 10 1000 feet. which mus, be considered
There is a call made on the cuntractihl ~ Of ths
small arteries on the one hand, and on the amount
OF muscular force OF the heart on the other hand.
ana II the strnCtltse IN question cann0, respond
10 this call, rupture Of an artery or dilsuun
OF the heart may enSte In the case Of n normal
condition OF the clfculatory organs little ham
Is done beyond some Transient discomfort. such
az dizziness, huzzing in the ears, palptauon,
general "mdlaIq~," and this often only in ths
cas-" OF people totally unaCcustomed 10 high artl.
tudeS. For such It Is desirable T. take the high
altitude by degrees IN two or three stages say
first stage | 300 feet second stage from 800
70 5000 feet, and third stage from 1900 10 5000
feet with n shy 81 one or two days az the inter.
medIate places. The stay at the health resort
viii b. shortened, Il Is true, but tho patcut viii
derive more benefit ON The return Journey ons
short stay NJ one Intermediate place will suffice.
Even n fairly strong heart will not stand an over.
strain in the Rrst days spent NJ a high sltItpda
\ Dutch lady, about 40 years Of age. In had
spent u lifetime in the lOwlands, came a,G-ctv
up to Adelboden latitude, 1900 feeU After
two days she went On m excursion with . rarty
up TO m AlD 1000 feet high, making the ascent
quite slowly in four hours. Sudden Icqrt 80
rope ensued, which lasted the hest prrt of0~
hour, though ] CHANGED 10 be near and could give
assistance, whirh was urgently needed The
patent recovered, but derived no benefit from a
iortnght's stay, and had to return to the low
ground the worse for her Trip and her incorsid.
crate enterprise.
RAPID oscnntS to a high altitude are very IT..
furious to patients with artero .SclrrosIs and
feet are positively dangerous 70 an uususreCulg
public, fox many persons between the Eges ~
81 and ~ years consider themselves
To- be hale and healthy and are quite unconscious,
81 having advanced hrteno-sClrtosiS rnd ,er-
chance contracted kidney. An Amorcgn gen.
slight symptoms d arriEa %l"ctoriS. Ipintrr
10 ]sccrosIs uf the corunary arteries 4 Nh
months CuurseOf tfeNimcrt OF Zurich with mre-
sage, baths md proper "Nc'ylsH and diet f.
away with oil the SYMPTOMS. | saw him hv
chance some months ht"r. Ms son is luirC 70,
May | go with him Most certainly u,'. b
was my answer The Taunut then consulted
n professor. Who above I'm togo. tfcums tantU.,
however, too; him tor the summer to Nach,e'u,
winch is sltua ted ct al diu'lIi, Of only > coo fee,
and he spent p good suum,f. Suf bee must needs
go up the PiINtus bv rel 1000 iecp, tcIying o.
the professor permission End the ragu., was
disastrous, for he almost died IRON = violent At
tack II angina pcCiOrS On III" night otlis return
from the llhtus. and vowed On hig ret; m 90
Zurich to keep under 5000 feet ~ iulu,s.
Imay her" mention mat bad rnsu .t,i IN th" shape
Of heart cola pse. angina r]"cturs, C0t.IGc 'q'hins
and last. moi least, Hpupievy, often occur only
on the return b. tho iowihuas