Airplane stroke syndrome

Humaidan, Hani; Yassi, Nawaf; Weir, Louise; Davis, Stephen M.; Meretoja, Atte

doi:10.1016/j.jocn.2015.12.015

Cited by 7 publications

(6 citation statements)

References 14 publications

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“…In addition, information on treatment outcomes and proper diagnosis were not included in those studies [7][8][9][10][11][12]. Some articles with information on proper diagnosis and treatment outcomes were focused on individual diseases, such as stroke, venous thrombosis, pulmonary thromboembolism, and pneumothoraxes [17][18][19][20]. Peterson et al [6] IMEs, classification of the patients after consultation, and their treatment outcomes.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology and clinical outcomes of emergency medical events at an international airport

2021

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The use of airplanes is becoming increasingly frequent worldwide. However, although the number of flight passengers is steadily increasing, there is no comprehensive database that accurately reflects the frequency of emergency medical events that occur in airports. We evaluated the characteristics and treatment outcomes of patients who had emergency medical events at an airport. We retrospectively reviewed cases of patients who had emergency medical events at International Airport between May 2013 and April 2018. A comparative analysis was conducted on gender, age, disease, temperament, and average length of stay between patients visiting the airport and the general population visiting the emergency room (ED). Among the 258,823 patients who visited our ED during the study period. A total of 846 patients (0.3%) were transferred from the airport; the proportion of men was 59.3%, the mean age of the subjects was 43.7 ± 20.1 years. The admission and mortality rates of the patients in the airport group were relatively higher (35.1% and 2.6%, respectively) than that of those in the direct ED visit group (21.6% and 0.5%, respectively). Abdominal disease was the most common medical problem, and the most common causes of death were sudden cardiac arrest and acute myocardial infarction. Future prospective studies are necessary to affirm its findings.

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Section: Discussionmentioning

confidence: 99%

Epidemiology and clinical outcomes of emergency medical events at an international airport

2021

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“…Air travel is now a common occurrence, with nearly 2 billion people traveling annually [87]. Fortunately, flight-related strokes are rare.…”

Section: High Altitudementioning

confidence: 99%

“…Commercial planes typically fly at an average peak altitude ranging from 33,000 to 42,000 feet (~10,000 to 12,800 m), while still maintaining the intra-cabin air pressure [88]. However, flights have been associated with an increased risk of deep venous thrombosis and pulmonary embolism, a connection often referred to as the "economy class syndrome" [87,89]. This is thought to be due to paradoxical embolism through a patent foramen ovale (PFO) [89], although the role of PFO in ischemic stroke even in the general population remains unclear.…”

Section: High Altitudementioning

confidence: 99%

Emerging Stroke Risk Factors: A Focus on Infectious and Environmental Determinants

Hameed,

Karim,

Wasay

et al. 2024

JCDD

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This review focuses on emerging risk factors for stroke, including air pollution and climate change, gut microbiota, high altitude, and systemic infection. Up to 14% of all stroke-associated mortality is attributed to air pollution and is more pronounced in developing countries. Fine particulate matter and other air pollutants contribute to an increased stroke risk, and this risk appears to increase with higher levels and duration of exposure. Short term air pollution exposure has also been reported to increase the stroke risk. The gut microbiota is a complex ecosystem of bacteria and other microorganisms that reside in the digestive system and affect multiple body systems. Disruptions in the gut microbiota may contribute to stroke development, possibly by promoting inflammation and atherosclerosis. High altitudes have been associated with erythrocytosis and cerebrovascular sinus thrombosis, but several studies have reported an increased risk of thrombosis and ischemic stroke at high altitudes, typically above 3000 m. Systemic infection, particularly infections caused by viruses and bacteria, can also increase the risk of stroke. The risk seems to be greatest in the days to weeks following the infection, and the pathophysiology is complex. All these emerging risk factors are modifiable, and interventions to address them could potentially reduce stroke incidence.

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“…14 Additionally, the use of in-flight supplemental oxygen is also recommended for these travellers. In contrast to the dearth of literature on air travel in stroke patients, there is abundant literature that describes in-flight and post-flight stroke incidence [15][16][17] as well as repatriation due to CVA abroad. 18,19 Congenital Heart Disease The literature on congenital heart disease (CGHD) and air travel is limited.…”

Section: Coronary Heart Diseasementioning

confidence: 99%

Pre-travel Health Advice for Patients With Cardiovascular Disease

Liew

Flaherty

2019

Int J Travel Med Glob Health

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Cardiovascular disease (CVD) is the leading cause of death among international travellers. Practitioner knowledge of the effects of CVD on international travel is imperative in order to promote a healthy travel experience. This review aimed to explore the available literature on this topic. The PubMed database was accessed to source relevant literature using combinations of relevant keywords as search terms. Articles were restricted to those published in the English language through March 2019. Of 1726 article records retrieved, 73 relevant papers were examined carefully. The results of this narrative review are related to multiple aspects of CVD and travel. The pre-travel consultation should address issues regarding vaccinations, travel insurance, anticoagulation, and medical devices. Additional vaccines to be discussed include influenza, pneumococcal, and hepatitis B. Patients with CVD should be advised of the need to carry a copy of their ECG, prescription(s), and pacemaker manufacturer’s card. Knowledge of the location overseas of automated external defibrillators and awareness of health risks associated with strenuous adventure activities are important for CVD travellers. Medical tourism for patients with CVD is briefly considered. Space tourism is an emerging category of extreme international travel that requires specialized pre-travel preparation. This narrative review article highlights the gaps in the travel medicine literature in relation to CVD. A strong evidence base for most recommendations is lacking. Future scholarly efforts are warranted to facilitate more robust travel recommendations for CVD patients. No qualitative studies to date have described the experiences of international travellers with CVD.

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Airplane stroke syndrome

Cited by 7 publications

References 14 publications

Epidemiology and clinical outcomes of emergency medical events at an international airport

Epidemiology and clinical outcomes of emergency medical events at an international airport

Emerging Stroke Risk Factors: A Focus on Infectious and Environmental Determinants

Pre-travel Health Advice for Patients With Cardiovascular Disease

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