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Thromboembolic disease.

R J Hall1

  • 1Department of Cardiology, University Hospital of Wales, Heath Park, Cardiff, U.K.

European Heart Journal
|May 1, 1988
PubMed
Summary
This summary is machine-generated.

Diagnosing thromboembolic disease in aircrew requires certainty due to its rarity and diagnostic challenges. Long-term anticoagulation may be necessary for those without clear risk factors or with recurrent deep venous thrombosis.

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Area of Science:

  • Aerospace Medicine
  • Hematology
  • Vascular Medicine

Background:

  • Thromboembolic disease is uncommon in physically fit individuals, including aircrew.
  • Clinical diagnosis of pulmonary embolism and deep venous thrombosis is often unreliable.
  • Accurate diagnosis is critical for aircrew licensing due to serious implications.

Purpose of the Study:

  • To emphasize the importance of definitive diagnosis of thromboembolic conditions in aircrew.
  • To outline diagnostic considerations for pulmonary embolism and deep venous thrombosis in this population.
  • To discuss management strategies, including long-term anticoagulation.

Main Methods:

  • Review of clinical diagnosis reliability for thromboembolic events.
  • Assessment of recurrence risk after acute pulmonary embolism.

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  • Evaluation of diagnostic approaches for patients without identifiable predisposing factors.
  • Consideration of underlying systemic illnesses and clotting abnormalities.
  • Management strategies for subacute pulmonary embolism and recurrent deep venous thrombosis.

    • Main Results:

    • Recurrence risk after acute pulmonary embolism is low when a predisposing factor is identified.
    • Pulmonary embolism without a clear risk factor necessitates thorough investigation for systemic illness or clotting disorders.
    • Subacute pulmonary embolism and recurrent deep venous thrombosis often require long-term oral anticoagulation.
    • These conditions are rare but can be exacerbated by inactivity.

    Conclusions:

    • Definitive diagnosis of thromboembolic disease is paramount in aircrew.
    • Management requires careful assessment, especially in cases lacking obvious risk factors.
    • Long-term anticoagulation is a key therapeutic consideration for specific patient groups.