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Comprehensive High-Altitude Physical
This extensive evaluation assesses your general health as well as specific medical needs, with a focus on optimizing your health and performance at altitude. Assessment includes:
- Detailed medical history and physical examination
- Echocardiography (heart ultrasound) specifically measuring pulmonary artery pressure
- Cardiac stress testing if indicated because of age or risk factors
- Complete blood count
- Complete blood chemistries
- Kidney and liver function tests
- Thyroid laboratory studies
- Cholesterol Screening
- PSA (prostate screening) for men
- Pulmonary function testing
- Chest x-ray if necessary
- Carotid or aorta ultrasound screening over age 50 or risk factors
High Altitude Consultation
If you are having specific problems at altitude such as headaches, difficulty sleeping, or have a history of acute mountain sickness (AMS) or high altitude pulmonary edema (HAPE) come see us. Improving your quality of life at altitude is what we are all about. If you have questions about chronic medical conditions such as high blood pressure or are concerned about pregnancy or how your child does at altitude, we can help.
High Altitude Performance for Athletes: Are you interested in maximizing your exercise performance at altitude? Or training for a low altitude event? This consultation provides valuable information on how best to help you with your training. Some of the following studies may be necessary for your evaluation:
- Echocardiography to assess pulmonary artery pressure
- VO2 Max
- Exercise Oximetry
- Complete blood Count
- Iron Studies
- Complete blood chemistries
- Pulmonary function testing if indicated
If you snore heavily while sleeping, wake frequently or have other sleep related issues you may need a sleep study. This overnight evaluation includes measuring your brain waves, sleep pattern and oxygenation during sleep to determine an exact diagnosis and treatment plan.
Cardiac Exercise Treadmill Testing
This exam involves hooking you up to a cardiac monitor while exercising on a treadmill to evaluate your heart. It can determine if you have underlying coronary artery disease that might cause difficulty exercising at altitude or put you at risk for a heart attack.
Pulmonary Function Testing
Do you get too short of breath exercising at altitude? Do you have a history of lung disease? Have you smoked for a long time? This study measures how well your lungs function.
Ultrasonography of your heart evaluates for overall cardiac function. Harmless sound waves transmit a visual image of your heart and lung vessels to a monitor. Ultrasound can also determine the blood pressure in your lungs which is especially key in evaluating performance at altitude. Echo can determine any structural or congenital abnormalities in your heart as well.
Ambulatory Blood Pressure Monitoring
Blood pressure response can be quite variable at high altitude. This monitor is worn and checks your blood pressure at regular intervals over 24 hours. For those suffering from high blood pressure at seal level or at altitude this can be a valuable tool in evaluating and treating your blood pressure.
A fingertip sensor is worn during usual activities and especially exercise, to determine oxygen levels in the blood during these activities. It stores data for up to 24 hours in a band worn around the wrist. This information helps us evaluate complaints of shortness of breath and also lung function.
Nocturnal Oxygen Monitoring
Difficulty sleeping at altitude is common. The same oxygen sensor can be worn at night to determine if abnormal oxygen levels are contributing to sleeping problems.