• Resting blood pressure >200 mmHg Systolic, and or >110 mmHg Diastolic
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• Acute systemic infection (discuss with medical officer)
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• AMS requiring treatment with acetazolamide, dexamethasone or nifedipine
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• Acute chest pain
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• New Arrhythmias or ECG changes
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• Resting Arterial Oxygen Saturations <90% at sea level; <85% Kathmandu, <80% Namche <75% Pheriche, <70% at Everest Base Camp
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Criteria for stopping test
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• Excessive rise in blood pressure:
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○ >250 mmHg Systolic; >115 mmHg Diastolic |
• Drop in systolic blood pressure of >10 mmHg from baseline, with other indications of ischaemia (see below)
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• >2 mm ST depression or >1 mm ST elevation
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• Onset of angina or angina-like symptoms
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• Onset of new arrhythmia other than ventricular ectopics
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• Nervous system symptoms - ataxia, dizziness or near syncope
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• Subject requests termination of test
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