Pulmonary embolism aggravated by two short flights 3 days apart
Charles M Grossman1, Jocelyn C White, Patrick M Dunn
1Legacy Good Samaritan Hospital, Department of Medicine, Portland, OR 97205, USA. lindatian06@yahoo.com
Aviation, Space, and Environmental Medicine
|July 16, 2005
Abstract:
An elderly internist experienced aggravation of preexisting pulmonary emboli following each of two short flights of 75 min apiece 3 d apart. A brief discussion of risk factors is included. It is suggested that pertinent reports should separate venous thromboembolic disease (VTE) from uncomplicated deep venous thrombosis (DVT).
Insights
Elderly patients may experience worsening pulmonary emboli after short flights. Differentiating venous thromboembolic disease from deep venous thrombosis is crucial for accurate reporting.
Area of Science:
- Medicine
- Cardiology
- Pulmonology
Background:
- Pulmonary emboli (PE) are a significant health concern, particularly in the elderly.
- Deep venous thrombosis (DVT) is a common precursor to PE.
- Air travel is a known risk factor for venous thromboembolic disease (VTE).
Observation:
- An elderly internist with pre-existing pulmonary emboli experienced symptom exacerbation after two short flights.
- The flights were approximately 75 minutes each and occurred 3 days apart.
- The patient's pre-existing condition suggests a heightened susceptibility.
Findings:
- Short-duration air travel can potentially aggravate pre-existing pulmonary emboli.
- Risk factors for venous thromboembolic disease require careful consideration in susceptible individuals.
- The case highlights the need for precise terminology in medical reporting.
Implications:
- Clinicians should be aware of the potential for VTE exacerbation in patients with known PE, even after short flights.
- Distinguishing between venous thromboembolic disease and uncomplicated deep venous thrombosis in medical literature is important for clarity and research.
- Further research may be warranted to explore the specific risks associated with air travel in patients with pre-existing thromboembolic conditions.
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