very high.
in altissimo, in the second octave above the treble staff.
Historical Examples

The rapidity of his execution, and the mellow sweetness of his altissimo notes, were unequalled.
The Violin George Dubourg

All the rest of the objects were as usual in plano; this was in alto, indeed in altissimo rilievo.
Library Of The World’s Best Literature, Ancient And Modern, Vol 4 Charles Dudley Warner

(of music) very high in pitch
of or relating to the octave commencing on the G lying an octave above the treble clef
in altissimo, in the octave commencing an octave above the treble clef


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