I would giess that if it takes say p;urely a 4 atm change to cause it then the base teh atm change is the controlling factor.Why would nitrogen narcosis happen at shallower depths at altitude?
Just trying to make this work if you get narced at 100 ft it is then a change from 1atm to 4 atm that does it and not the result of a pressure of 60 psi ambient on the body. 4 atm at sea level would be 60 psi. I have always assumed that it would take,,,, in the 100 ft case,,,, 60 psi to bring it on and as the ambient pressure dropped it would take for arguments sake 110 ft to get to 60 psi. I like questions like this. As in this question so much taken for granted because we always dive in the same altitude more or less.
Higher altitude rules always made sense to me for deco because the end result is using the current surface pressure as a measurement base for what the ratio you would be experiencing when you got out of the water.