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June 17, 2012European Heart Journal86 citationsOpen Access

Effects of acetazolamide on central blood pressure, peripheral blood pressure, and arterial distensibility at acute high altitude exposure

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Why the study?

Does acetazolamide prevent haemodynamic changes in subjects exposed to acute high altitude hypoxia?

Population

42 subjects (21 males, age 36.8 ± 8.9 years) exposed to acute high altitude hypoxia

Comparison

Acetazolamide 250 mg b.i.d. vs Matching placebo

Design

RCT, randomized, double blind

Follow-up

3 days of exposure to high altitude

Key result

Acetazolamide significantly lowered diastolic (P<0.005), mean (P<0.05), and systolic blood pressure (P<0.05) compared to placebo during acute high altitude exposure.

Authors

GPGianfranco ParatiMRMiriam ReveraAGAndrea Giuliano

Discussion

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Overview

Acetazolamide may blunt acute high-altitude blood pressure rises in exposed individuals; confirms hemodynamic benefit in this RCT.

Study Design

Type

RCT (n=42)

Blinding

Double-blind

Randomization

randomized

Structured PICO

Does acetazolamide prevent haemodynamic changes in subjects exposed to acute high altitude hypoxia?

P
Population
42 subjects (mean age 36.8 years, 50% female) evaluated for haemodynamic changes during acute exposure to high altitude.
I
Intervention
Acetazolamide 250 mg b.i.d.
C
Comparator
Matching placebo
O
Outcome
Haemodynamic changes including pulse wave velocity, pulse wave parameters, and blood pressure assessed at baseline, after 2-day treatment at sea level, within 6 h and on 3rd day of exposure to high altitudesurrogate

Acetazolamide blunts the rise in blood pressure and changes in pulse waveform-derived parameters induced by acute high altitude exposure.

Main Result

p-value: p=<0.005

Cite This Study

Parati et al. (2012) conducted an RCT in Acute high altitude exposure (n=42). Acetazolamide vs. Placebo was evaluated on Diastolic and mean blood pressure at high altitude (p=<0.005). Acetazolamide significantly lowered diastolic (P<0.005), mean (P<0.05), and systolic blood pressure (P<0.05) compared to placebo during acute high altitude exposure.

synapsesocial.com/papers/6a7a2f6ebdf697b3de0289b1https://doi.org/10.1093/eurheartj/ehs140
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Effect of Acetazolamide on Pulmonary Hemodynamics and Right Heart Function in Healthy Adults Going to Altitude: A Randomized Controlled Trial2025
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  3. 3Effect of acetazolamide on leg endurance exercise at sea level and simulated altitude2006 · 24 citations
  4. 4Pharmacological prevention of altitude illness, so a few words about Acetazolamide2025
  5. 5Prevention of severe nocturnal hypoxemia in COPD patients at high altitude. (Results of a randomized controlled trial)2026