Article: How HAPE Happens.

How HAPE Happens

Abstracts & Commentary

Synopsis: Recent studies suggest that high-altitude pulmonary edema (HAPE) is not primarily an inflammatory process, but that it might result from alterations in the sodium-driven clearance of alveolar fluid. In addition to gradual ascent, prophylactic salmeterol might be effective in travelers who are predisposed to HAPE.

Sources: Swenson ER, et al. Pathogenesis of high-altitude pulmonary edema: Inflammation is not an etiologic factor. JAMA. 2002;287:2228-2235; Sartori C, et al. Salmeterol for the prevention of high-altitude pulmonary edema. N Engl J Med. 2002;346:1631-1636.

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