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arXiv:2602.08916v3 Announce Type: replace Abstract: Objective: Acute mountain sickness (AMS) is the most prevalent altitude illness, affecting unacclimatized individuals ascending above 2,500 m and potentially escalating to life threatening cerebral or pulmonary edema. Conventional machine learning (ML) methods for AMS detection from wearable physiological signals often fail to meet real-time hardware efficiency requirements of continuous monitoring. Methods: We present AMS-HD, the first...