Grade Symptoms Signs
Mild Dyspnea on exertion, dry cough
fatigue while moving uphill
HR (rest) < 90-100 beats/min, RR (rest) <20
beats/min dusky nailbeds or exertional desaturation localized crackles,(if any)
Moderate Dyspnea at rest, weakness, fatigue on level walking, raspy cough HR 90-110 beats/min, RR 16-30 beats/min, cyanotic nail beds, crackles present
Severe Dyspnea at rest, extreme weakness
orthopnea, productive cough
HR > 110 beats/min, RR > 30 beats/min, facial & nailbed cyanosis; Bilateral crackles, blood-tinged sputum, stupor, coma.
Table 1: Stratification of altitude based on the pathophysiological changes obsevered during human ascent.