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Garrido, J. Botella de Maglia, O. Castillo" "autores" => array:3 [ 0 => array:4 [ "nombre" => "E." "apellidos" => "Garrido" "email" => array:1 [ 0 => "eduardogarrido@movistar.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "J." "apellidos" => "Botella de Maglia" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "O." "apellidos" => "Castillo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "c" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Hipobaria y Fisiología Biomédica, Universidad de Barcelona, Barcelona, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Medicina Intensiva, Hospital Universitario y Politécnico La Fe, Valencia, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Instituto Nacional de Biología Andina, Universidad Nacional Mayor de San Marcos, Lima, Perú" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Réplica a la carta «Mal de montaña agudo. ¿Se sobreestima su prevalencia?»" ] ] "textoCompleto" => "We appreciate the contributions of Soteras et al.<a class="elsevierStyleCrossRef" href="#bib0005">1</a>. Indeed, acute mountain sickness (AMS) is not exclusive to extreme altitude (>5500m), the limit of permanent life for the human being, and the 27% prevalence of AMS in the Pyrenees referred by these authors is in perfect agreement with the percentage ranges corresponding to altitudes above 2500m in other mountain massifs, as we have provided in our review article<a class="elsevierStyleCrossRef" href="#bib0010">2</a>.AMS is a constellation of symptoms and signs, none of which is pathognomonic, and for its diagnosis the most widely used clinical assessment method is the Lake Louise scale<a class="elsevierStyleCrossRef" href="#bib0015">3</a>. In its latest version, this scale does not take into account sleep disturbances and stipulates that the diagnosis of AMS requires the presence of headache<a class="elsevierStyleCrossRef" href="#bib0020">4</a>. However, some authors believe that AMS can occur without headache and that insomnia has diagnostic value<a class="elsevierStyleCrossRef" href="#bib0025">5</a>. The terms fatigue and weakness contemplated in the Lake Louise scale refer to tiredness, and should not be interpreted as dyspnea (breathlesness), which is included in the Qinghai scale for the diagnosis and clinical evaluation of chronic mountain sickness (Monge’s disease).It is possible that a state of fatigue can overestimate the Lake Louise scale in untrained subjects—it would only score as a symptom if it is disproportionate to the physical effort made—, but dyspnea is not part of the typical clinical picture of AMS and its appearance at rest always indicates severity at any altitude considered<a class="elsevierStyleCrossRef" href="#bib0030">6</a>.Chest ultrasound is useful to discriminate whether dyspnea is due to heart failure, although it will not always be feasible to perform it in certain emergency situations on a harsh mountain environment." "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as: Garrido E, Botella de Maglia J, Castillo O. Réplica a la carta «Mal de montaña agudo. ¿Se sobreestima su prevalencia?». Rev Clin Esp. 2022;222:566." ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:6 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mal de montaña agudo. ¿Se sobrestima su prevalencia?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "Í. Soteras" 1 => "M. Ayala" 2 => "E. Subirats" 3 => "J.C. Trullàs" 4 => "X. Jiménez-Fàbrega" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Rev Clin Esp." "fecha" => "2022" "volumen" => "222" "paginaInicial" => "566" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mal de montaña de tipo agudo, subagudo y crónico" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "E. Garrido" 1 => "J. Botella de Maglia" 2 => "O. Castillo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Rev Clin Esp." "fecha" => "2021" "volumen" => "221" "paginaInicial" => "481" "paginaFinal" => "490" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Does this patient have acute mountain sickness?: The rational clinical examination systematic review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:7 [ 0 => "D. Meier" 1 => "T.H. Collet" 2 => "I. Locatelli" 3 => "J. Cornuz" 4 => "B. Kayser" 5 => "D.L. Simel" 6 => "C. Sartori" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1001/jama.2017.16192" "Revista" => array:6 [ "tituloSerie" => "JAMA." "fecha" => "2017" "volumen" => "318" "paginaInicial" => "1810" "paginaFinal" => "1819" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29136449" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "and The Lake Louise AMS Score Consensus Committee. The 2018 Lake Louise acute mountain sickness score" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "R.C. Roach" 1 => "P.H. Hackett" 2 => "O. Oelz" 3 => "P. Bärtsch" 4 => "A.M. Luks" 5 => "M.J. MacInnis" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1089/ham.2017.0164" "Revista" => array:6 [ "tituloSerie" => "High Alt Med Biol." "fecha" => "2018" "volumen" => "19" "paginaInicial" => "4" "paginaFinal" => "6" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29583031" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evaluation of the Lake Louis score for acute mountain sickness and its 2018 version in a cohort of 484 trekkers at high altitude" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.P. Richalet" 1 => "C. Julia" 2 => "F.J. Lhuissier" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1089/ham.2020.0226" "Revista" => array:6 [ "tituloSerie" => "High Alt Med Biol." "fecha" => "2021" "volumen" => "22" "paginaInicial" => "353" "paginaFinal" => "361" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/34515528" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Medical conditions and high-altitude travel" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "A.M. Luks" 1 => "P.H. Hackett" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJMra2104829" "Revista" => array:6 [ "tituloSerie" => "N Engl J Med." "fecha" => "2022" "volumen" => "386" "paginaInicial" => "364" "paginaFinal" => "373" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/35081281" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22548874/0000022200000009/v1_202210281853/S2254887422000376/v1_202210281853/en/main.assets" "Apartado" => array:4 [ "identificador" => "71813" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Correspondence" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22548874/0000022200000009/v1_202210281853/S2254887422000376/v1_202210281853/en/main.pdf?idApp=WRCEE&text.app=https://www.revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887422000376?idApp=WRCEE"]

Revista Clínica Española (English Edition)

ISSN: 2254-8874

Revista Clínica Española published its first issue in 1940 and is the body of expression of the Spanish Society of Internal Medicine (SEMI).
The journal fully endorses the goals of updating knowledge and facilitating the acquisition of key developments in internal medicine applied to clinical practice. Revista Clínica Española is subject to a thorough double blind review of the received articles written in Spanish or English. Ten issues are published each year, including mostly originals, reviews and consensus documents.

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