Department of Cardiology, National Heart Centre Singapore, Singapore; Duke-NUS School of Medicine, National University of Singapore, Singapore; Changi Aviation Medical Centre, Changi General Hospital, Singapore.
Curr Probl Cardiol. 2021 Mar;46(3):100768. doi: 10.1016/j.cpcardiol.2020.100768. Epub 2020 Dec 11.
The exponential growth of commercial flights has resulted in an explosion of air travelers over the last few decades, including passengers with a wide range of cardiovascular conditions. Notwithstanding the ongoing COVID-19 pandemic that had set back the aviation industry for the next 1-2 years, air travel is expected to rebound fully by 2024. Guidelines and evidence-based recommendations for safe air travel in this group vary, and physicians often encounter situations where opinions and assessments on fitness for flights are sought. This article aims to provide an updated suite of recommendations for the aeromedical disposition of passenger with common cardiovascular conditions, such as ischemic heart disease, congestive heart failure, valvular heart disease, cardiomyopathies, and common arrhythmias.
过去几十年,商业航班的指数级增长导致航空旅客数量暴增,其中包括患有各种心血管疾病的乘客。尽管持续的 COVID-19 大流行使航空业在未来 1-2 年内倒退,但预计航空旅行将在 2024 年全面复苏。针对这一群体安全航空旅行的指南和循证建议有所不同,医生经常会遇到需要寻求关于飞行适航性的意见和评估的情况。本文旨在为患有常见心血管疾病(如缺血性心脏病、充血性心力衰竭、瓣膜性心脏病、心肌病和常见心律失常)的乘客的航空医疗处置提供一套最新的建议。