{"id":131613,"date":"2023-06-07T08:26:22","date_gmt":"2023-06-07T08:26:22","guid":{"rendered":"https:\/\/ccs.ca\/?post_type=guideline&p=131613"},"modified":"2023-06-20T09:38:14","modified_gmt":"2023-06-20T09:38:14","slug":"chapter-8-flying-cardiovascular-conditions","status":"publish","type":"guideline","link":"https:\/\/ccs.ca\/guideline\/drive-and-fly-2003\/chapter-8-flying-cardiovascular-conditions\/","title":{"rendered":"8. Flying: Cardiovascular Conditions"},"content":{"rendered":"
\n
\n
\n <\/i>\n <\/div>\n
\n

Angina Pectoris<\/p>

    \n
  • NYHA functional class I & II<\/strong>
    \nNo restriction.<\/li>\n
  • NYHA functional class III<\/strong>
    \nSuplemental oxygen required.<\/li>\n
  • NYHA functional class IV<\/strong>
    \nOnly if medically necessary and accompanied*.<\/li>\n<\/ul>\n

    * Accompanied by physician with attached ECG monitor\/defibrillator, oxygen and appropriate medication.<\/p>\n <\/div>\n <\/div>\n<\/div>\n\n\n

    \n
    \n
    \n <\/i>\n <\/div>\n
    \n

    Post-MI<\/p>

      \n
    • NYHA functional class I<\/strong>
      \n1-2 weeks for repatriation if uncomplicated and succesfully revascularized or low risk on angiography\/non-invasive studies.
      \n6-8 weeks for elective travel.<\/li>\n
    • NYHA functional class II-IV<\/strong>
      \nOnly if medically necessary and accompanied*.<\/li>\n<\/ul>\n

      * Accompanied by physician with attached ECG monitor\/defibrillator, oxygen and appropriate medication.<\/p>\n <\/div>\n <\/div>\n<\/div>\n\n\n

      \n
      \n
      \n <\/i>\n <\/div>\n
      \n

      Heart Failure<\/p>

        \n
      • NYHA functional class I & II<\/strong>
        \nUnrestricted.<\/li>\n
      • NYHA functional class III<\/strong>
        \nSuplemental oxygen required.<\/li>\n<\/ul>\n <\/div>\n <\/div>\n<\/div>\n\n\n
        \n
        \n
        \n <\/i>\n <\/div>\n
        \n

        Valvular Disease<\/p>

          \n
        • NYHA functional class I & II<\/strong>
          \nUnrestricted. Supplemental oxygen suggested if pulmonary hypertension is present.<\/li>\n
        • NYHA functional class III<\/strong>
          \nSuplemental oxygen required.<\/li>\n
        • NYHA functional class IV<\/strong>
          \nOnly if medically necessary and accompanied*.<\/li>\n<\/ul>\n

          * Accompanied by physician with attached ECG monitor\/defibrillator, oxygen and appropriate medication.<\/p>\n <\/div>\n <\/div>\n<\/div>\n\n\n

          \n
          \n
          \n <\/i>\n <\/div>\n
          \n

          Congenital Heart Disease<\/p>

            \n
          • NYHA functional class I & II<\/strong>
            \nUnrestricted. Supplemental oxygen if partial pressure of atrial oxygen <70 mmHg.<\/li>\n
          • NYHA functional class III<\/strong>
            \nSuplemental oxygen required.<\/li>\n
          • NYHA functional class IV<\/strong>
            \nOnly if medically necessary and accompanied*.<\/li>\n<\/ul>\n

            * Accompanied by physician with attached ECG monitor\/defibrillator, oxygen and appropriate medication.<\/p>\n <\/div>\n <\/div>\n<\/div>\n\n\n

            \n
            \n
            \n <\/i>\n <\/div>\n
            \n

            Post-CABG\/Valve Surgery<\/p>

              \n
            • NYHA functional class I & II<\/strong>
              \n4 days postsurgery and hemoglobin \u2265 90 g\/L if flight < 2h*.
              \n7 days postsurgery and hemoglobin \u2265 90 g\/L if flight \u2265 2h.
              \n* If hemoglobin < 90 g\/L and wishes to avoid transfusion, then supplemental oxygen is required.<\/li>\n<\/ul>\n <\/div>\n <\/div>\n<\/div>\n\n\n
              \n
              \n
              \n <\/i>\n <\/div>\n
              \n

              Therapeutic Intervention – PCI\/ASD Closure<\/p>

                \n
              • NYHA functional class I & II<\/strong>
                \n1 day postprocedure. If PCI following MI, post-MI guidelines prevail.<\/li>\n<\/ul>\n <\/div>\n <\/div>\n<\/div>\n\n\n
                \n
                \n
                \n <\/i>\n <\/div>\n
                \n

                Arrhythmia\/Post-arrhythmia Procedure<\/p>

                  \n
                • NYHA functional class I & II<\/strong>
                  \nWell-controlled supraventricular arrhythmias – unrestricted.
                  \n1 day postprocedure for supraventricular arrhythmias.
                  \n2 days postprocedure for ventricular arrhythmias.<\/li>\n
                • NYHA functional class III & IV<\/strong>
                  \nUncontrolled hemodynamically significant ventricular arrhythmias should not fly by commercial aircraft.<\/li>\n<\/ul>\n <\/div>\n <\/div>\n<\/div>\n\n\n
                  \n
                  \n
                  \n <\/i>\n <\/div>\n
                  \n

                  Post-pacemaker\/ICD\/Loop Recorder Implant<\/p>

                    \n
                  • NYHA functional class I & II<\/strong>
                    \n1 day post implant if no pneumothorax, device functions normally and is programmed appropriately.<\/li>\n<\/ul>\n <\/div>\n <\/div>\n<\/div>\n\n\n
                    \n
                    \n
                    \n <\/i>\n <\/div>\n
                    \n

                    ICD Patients<\/p>

                      \n
                    • NYHA functional class I & II<\/strong>
                      \n1 month following last intervention from device associated with severe presyncope\/syncope.<\/li>\n<\/ul>\n <\/div>\n <\/div>\n<\/div>\n","protected":false},"featured_media":0,"parent":131566,"menu_order":7,"template":"guideline-chapter.php","topic":[],"resource_type":[],"acf":[],"yoast_head":"\n8. Flying: Cardiovascular Conditions - Canadian Cardiovascular Society<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ccs.ca\/guideline\/drive-and-fly-2003\/chapter-8-flying-cardiovascular-conditions\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"8. 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