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Flying and Thrombosis

Passenger aeroplane landing

The so called "economy class syndrome" (or pulmonary embolism) has been in the news in the past.  The risk of developing either deep vein thrombosis or pulmonary embolism during a long haul flight has not changed suddenly.

There has always been some risk present.  The various factors which make up this risk are listed below:

Risk Factors:

Cabin-related factors

Patient-related factors

  • Immobility
  • Cramped seating
  • Low atmospheric pressure
  • Relatively reduced oxygen concentration at altitude
  • Dehydration
  • Low humidity
  • Overweight
  • Previous history of thromboembolism or deep vein thrombosis
  • Heart disease
  • On hormone therapy
  • Presence of cancer
  • Recent surgery or injury
  • Smoking

You can reduce your risk of developing thrombosis during or just after a long haul flight by taking some practical steps:

  • Take 75mg of aspirin an hour or so before the flight if there are no contraindications
  • Wear compression stockings if you have any risk factors or a tendency to swelling of the legs
  • Drink plenty of water and avoid alcohol
  • Walk up and down the aisle as often as possible
  • Wiggle your toes and feet frequently while sitting

 

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