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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
Electrocardiogram
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
Urinalysis
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. Included with the consultation are the following studies:
Echocardiography to assess pulmonary artery pressure
VO2 Max
Exercise Oximetry
EKG
Complete blood Count
Iron Studies
Complete blood chemistries
Pulmonary function testing if indicated
Sleep Studies
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.
Echocardiography
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 at home 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 determining how to best treat your blood pressure.
Ambulatory Oxygen
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.