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HAPE or high altitude pulmonary edema: Rare below 8,500 feet (2,500 meters) More common with younger (under 18) hikers and persons who have had the problem before. Symptoms develop 24 to 60 hours after arrival at high altitude, and include coughing, shortness of breath, weakness, headache, rapid heart rate, and progress to constant coughing, bloody sputum, fever and chest congestion. Crackling sound in chest, resting pulse rate of 110 respirations per minute, and respirations over 16 per minute are early signs of HAPE.

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