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The highs and lows of heart health

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Jetting off to Machu Picchu this summer? Mapping your journey and considering all contingencies? Don’t forget your heart.

Travelers with heart disease need to keep a few things in mind when vacationing at high altitudes, according to a report in this month’s Harvard Heart Letter.

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As altitude increases, oxygen decreases, forcing the heart to work faster. Whether you might be seriously imperiled by the altitude will depend on three things: how high you go, what you do at that height, the state of your heart and your fitness level.

As a rule of thumb, ‘People with heart disease who can walk, jog, or do other physical activity at sea level can generally do the same things at higher elevation,’ says high-altitude expert and cardiologist Dr. Benjamin Levine in the report.

Before embarking on your trip:

--Consult your physician. Take a stress test and identify activities that you can and cannot do.

--Plan ahead. If you’re considering strenuous activities, make certain you can do those activities successfully at your accustomed elevation, before trying them on the road.

--Watch your blood pressure. It tends to rise in higher elevations, so work on getting it under control before the trip. Consider bringing a blood pressure monitor along.

--Watch the altitude: If you have pulmonary hypertension, try to stay below 6,000 feet.

-- Janet Cromley

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