Heart Health

Heart disease and high altitudes: Safe to travel?

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Q.I had a heart attack about five years ago, but I have no symptoms now. I am planning a vacation where I will be spending several days over 8,000 feet. Do I need to take any precautions?

You should gradually increase your activity at home to replicate the effort that you will need to perform activities at high altitudes. Your doctor should confirm that your heart rate and blood pressure are in a good range. If there is a question about the strain of your proposed vacation, you may need to have an exercise stress test. When you arrive at your destination, gradually ascend to high altitude. It may be helpful to spend a night or two at 6,000 feet prior to the final ascent. Adequate hydration is key since the hyperventilation makes you have to urinate more, and that may dehydrate you.

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