Altitude training for Zwift is straightforward. Set up your smart trainer inside the Training Cloud, connect to Zwift on a tablet or laptop, and run your normal session at simulated altitude.
ANT+ and Bluetooth signals pass through the tent walls without significant attenuation. Wahoo Kickr, Tacx Neo, Zwift Hub, and other smart trainers pair normally with Zwift, TrainerRoad, Rouvy, FulGaz, and Wahoo SYSTM.
Garmin head units, Wahoo Bolt and Roam, and ANT+ heart rate monitors all work as expected. A small fan inside the tent maintains airflow during high-intensity sessions.
The session itself runs the same way. The difference is the metabolic cost. Your heart rate is higher for the same wattage. Ventilation is higher. The training signal of every interval is amplified by the hypoxic environment.