As of today, the official list of contraindications for climbing, mountaineering, and mountain tourism looks like this:
- Any diseases in the acute or subacute stage.
- Mental illnesses that impede social interaction.
- Malignant tumors with pain syndrome.
- Diseases of the cardiovascular system:
- Ischemic heart disease (IHD).
- Angina pectoris;
- Recent myocardial infarction (less than 6 months ago);
- An aneurysm of the heart and aorta;
- Aneurysm of large blood vessels;
- Heart failure of stage IIA or higher;
- Disorders of heart rhythm: atrial fibrillation, tachycardia, frequent extrasystoles;
- Grade 3 hypertension (blood pressure above 180/110 mm Hg).
- Respiratory system diseases:
- Bronchial asthma with recent asthma status;
- Bronchiectatic disease of grade 2-3;
- Respiratory distress of 2-3 degrees (breathlessness more than 28/min at rest);
- Bleeding cough;
- Tuberculosis - active form;
- Liver diseases:
- Acute and subacute hepatitis;
- Other liver diseases with insufficient function.
- Kidney diseases:
- Glomerulonephritis (acute/sub-acute), exacerbation of chronic;
- Pyelonephritis during an exacerbation;
- Renal stone disease with renal colic;
- Chronic kidney failure of grade 1-3.
- Diseases of the endocrine glands with marked dysfunction.
- Diabetes mellitus in an incomplete compensation stage.
- Thrombophlebitis, Thrombosis, Hypercoagulability.
- Prone to bleeding of any aetiology.
- Glaucoma.
- Blood diseases:
- Moderate to severe anaemia;
- Thrombocytopenic purpura;
- Haemophilia;
- Leukaemia and other malignant diseases of the blood system.
- Joint diseases:
- Joint ankylosis (knee, intervertebral);
- Deforming osteoarthritis with significant functional impairment;
- Tuberculosis of the joints and bones;
- Gastrointestinal diseases:
- Peptic ulcer with an exacerbation, or presence within the last 3 weeks:
- Pain syndrome, or
- Persistent nausea, or
- Intermittent vomiting, or
- Bleeding;
- Liquid stools or vomiting within 3 days before the hike (except food poisoning).
- Syphilis.
- Infectious diseases.
- Pregnancy (condition is a relative contraindication).
- Purulent processes in any localisation.
- Epilepsy (grand mal seizures).
- Prolonged fever of undetermined cause.
- Rheumatism active phase, with heart defects, organ and joint complications.
