Many physicians are surprised to learn how many people live, work, and play at high altitude. Some 140 million persons reside at altitudes over 2500 m, mainly in North, Central, and South America; Asia; and eastern Africa (1). Increasingly, people are moving to work at high altitude. For example, there are telescopes at altitudes over 5000 m (2) and mines at over 4500 m (3), and the Golmud–Lhas...