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Question
Posted by: Charlie | 2010/02/02

Travel by Air After Heart Attack

My husband had a massive heart attack on 22/01/2010. He was released from the Cardio ICU in Cape Town on 29/01/2010, follow up exam in 3 months. Current condition of the arteries not suitable for surgery. Current medication Simvastatin 40 mg, Aspirin 150mg, Carvedilol 12,5mg. and Isosorbide Dinitrate 5m Sublingual. There was no doctor on duty when he was released, I consequently phoned and was advised that it would be safe to fly him back to Namibia in five days time, a two-hour flight, rather than travelling by car for two days.

I have in the meantime heard so many different opinions, but just need confirmation that I am doing the right thing by flying back home. I will have the Isosorbide with me.
Thank you

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Our expert says:
Expert ImageCyberDoc

Hallo Charlie
People who have had a myocardial infarction (MI) without complications are usually fit to travel by air within 2 or 3 weeks.
People who have had an MI with complications (such as significant angina or left ventricular dysfunction) should get expert advice, or rather wait 6 weeks. Although Cabins are airpressurized, the oxygen saturation is lower than on the ground.
These recommendations are based on those in the NICE guideline on Secondary prevention following a myocardial infarction [Cooper et al, 2007], which in the absence of trial evidence are based on expert opinion from guidelines published by the Aerospace Medical Association, Medical Guidelines Task Force [Aerospace Medical Association Medical Guidelines Taskforce, 2003].

Dr Bets

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Our users say:
Posted by: cyberdoc | 2010/02/03

Hallo Charlie
People who have had a myocardial infarction (MI) without complications are usually fit to travel by air within 2 or 3 weeks.
People who have had an MI with complications (such as significant angina or left ventricular dysfunction) should get expert advice, or rather wait 6 weeks. Although Cabins are airpressurized, the oxygen saturation is lower than on the ground.
These recommendations are based on those in the NICE guideline on Secondary prevention following a myocardial infarction [Cooper et al, 2007], which in the absence of trial evidence are based on expert opinion from guidelines published by the Aerospace Medical Association, Medical Guidelines Task Force [Aerospace Medical Association Medical Guidelines Taskforce, 2003].

Dr Bets

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