Abstract
Rapid ascent to high altitudes may be a cause of acute mountain sickness and its malignant complications, cerebral edema and/or pulmonary edema.1 A previously healthy 58-year-old mountaineer presented with echocardiographic signs of right-heart failure within the first 24 hours of arrival in La Paz, Bolivia, at the altitude of 3700 m. His only complaints were of a moderate headache, which improved after intake of paracetamol, and somewhat more fatigue and exertional dyspnea than was usual at similar altitudes. His clinical examination was unremarkable except for an increased pulmonic component of the second heart sound, a questionable systolic murmur, and …
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