Cardiovascular problems and travel

The holiday you are concerned but you think that it is precisely your heart that keeps you at home? Be aware that if your cardiovascular problem is stable, you can usually travel. Advice before departure.

A disease of the heart can sometimes curb your enthusiasm of Globetrotter, or even be a contraindication. However, in the case of stability of your state of health and a bit of planning, most movements are possible.

Cardiovascular problems

Contraindications to travel
The two main problems of distant journeys reside in transport (by air, the pressure of oxygen decline) and the sanitary conditions on-site.
Main cardiac contraindications to air transportation:
Decompensated heart failure or poorly stabilized by treatment;
Recent myocardial infarction;
Angina (angina) unstable;
Non-prosthetic atrioventricular block (risk of severe syncope);
High blood pressure high and poorly controlled;
Phlebitis or recent pulmonary embolism.

On-site cardiac and hypertensive patients have a reduced adaptability. Source of dehydration, heat can aggravate a pathology. Source of hypoxia, altitude causes an increase in heart rate. Finally, the cold can trigger attacks of angina and raise the voltage. In the case of travel abroad, your heart treatment may be a contraindication to taking drugs preventing malaria.
Therefore, carefully choose your destination according to your state of health… with your doctor!

-Preparing for the trip
-With your doctor
See your doctor at least one month before your departure. Discuss your project, it may consider the feasibility of travel based on your medical history and your current clinical State. He is the best judge of the absence of contraindication.

Your destination, your doctor may choose to do a clinical assessment, or even test. If you want to sport, it can make you pass a stress test (situational exercise). If you have a pace-maker, your cardiologist should check its good working order prior to your departure, and provide you with a statement of the technical characteristics of the device, very useful in case of malfunction.

The green light given, your doctor should write you duplicate your usual order in English if necessary. It is possible, depending on your destination, that your treatment fits: decrease of diuretics if heat expected, small doses of antiplatelet agents, compression stockings or preventive injection of heparin for the flight in the case of history of venous thrombosis, emergency drug (glyceryl trinitrate, fast-acting diuretic, etc.). You take double the required amount of drugs. Pack them in two separate locations and protect them against heat or a potential excessive cold;

Your doctor will also prescribe the usual medication of travel based on your health and your destination: diarrhea (famous turista causing risk of dehydration), vomiting, fever, sickness, pain-(killing drugs analgesics), injuries (disinfectants, wound dressings ‘double skin’ for bulbs), etc.