Edited by Jennifer Reiling, Editorial Assistant.
JULY 15, 1899
TH. FINDLATER ZANGGER.—The author calls attention to the strain
on the heart and arteries at elevations of three and four thousand feet and
above, and especially of rapid ascents. Mountain railways are in this way
dangerous to an unsuspecting public. The bad results in these cases, heart
collapse, angina pectoris, cardiac asthma and apoplexy, often only appear
after the return to the lowlands, and patients with cirrhotic kidneys are
in greatest danger. In case of apoplexy, it is generally the combined influence
of a few things slight in themselves, that, added to the altitude, produce
the worst results. Over-feeding, over-exertion, exposure to hot sun, bowel
neglect all have their part. Zangger advises an almost vegetarian diet in
arteriosclerosis, with use of mineral waters, caution as to stimulants and
avoidance of exercise in the heat of the day, especially in shut up valleys
where the sun's rays are intensified in the rarified atmosphere.
Danger of High Altitudes for Patients Affected With Arteriosclerosis.Heart Disease.Heart Disease.. JAMA. 1999;282(21):1990I. doi:10.1001/jama.282.21.1990