Myocardial infarction (MI) and fitness to fly
Condition | Functional status | Lay explanation | Restriction/guidance |
Post STEMI and NSTEMI | Low risk Age <65, first event, successful reperfusion, EF>45%,no complications,no planned investigations or interventions | If you have had a heart attack but you are less than 65yrs, the blocked artery has been opened, the heart pump is not badly damaged and no further tests or treatment are planned | Fly after 3 days |
Medium risk EF >40%,no symptoms of heart failure,no evidence of inducible ischemia or arrhythmia,no planned investigations or interventions | If you have had a heart attack your heart pump is quite good and you have no symptoms of breathlessness or chest pain and no other tests or treatments are planned | Fly after 10 days | |
High risk EF <40%,signs and symptoms of heart failure, those pending further investigation, revascularisation or device therapy | If you have had a heart attack, the heart pump is significantly damaged and you have symptoms of breathlessness or you are waiting for further tests or treatment | Defer travel until stable |
Note that these are only guidelines and each airline has its own regulations and medical standards.
Reference:
- British Heart Foundation (September 2010). Factfile - Fitness to fly for passengers with cardiovascular disease.
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