Advanced

Atrial fibrillation and flutter: aeromedical considerations. New strategies for management and intervention

Olsson, Bertil LU (1999) In European Heart Journal Supplements 1(Suppl. D). p.94-97
Abstract
Few cases of atrial fibrillation can be completely excused from the possibility of having some impact of potential importance in the aviation environment. The clinical pattern in paroxysmal disturbance is very wide and possible incapacitating phenomena are mainly haemodynamic. In contrast, chronic atrial fibrillation is mostly well-tolerated with only minimal haemodynamic effect, but there is a risk of thromboembolism, suggesting the need for anti-thromboembolic treatment. A subgroup with chronic atrial fibrillation with a very low risk may be defined, allowing avoidance of anti-thromboembolic treatment and a positive attitude towards aeromedical certification. Such individuals are likely to be normotensive males, under the age of 60... (More)
Few cases of atrial fibrillation can be completely excused from the possibility of having some impact of potential importance in the aviation environment. The clinical pattern in paroxysmal disturbance is very wide and possible incapacitating phenomena are mainly haemodynamic. In contrast, chronic atrial fibrillation is mostly well-tolerated with only minimal haemodynamic effect, but there is a risk of thromboembolism, suggesting the need for anti-thromboembolic treatment. A subgroup with chronic atrial fibrillation with a very low risk may be defined, allowing avoidance of anti-thromboembolic treatment and a positive attitude towards aeromedical certification. Such individuals are likely to be normotensive males, under the age of 60 years, with a normal left (and right) heart configuration on electrocardiography. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Atrial fibrillation, Excitability disorder, Arrhythmia, Crew, Professional qualification, Atrial flutter, Cardiovascular disease, Heart disease, Risk analysis, Pathophysiology, Treatment, Human, Air transportation
in
European Heart Journal Supplements
volume
1
issue
Suppl. D
pages
94 - 97
publisher
Oxford University Press
external identifiers
  • pmid:11543490
  • scopus:0032970792
ISSN
1520-765X
language
English
LU publication?
yes
id
6bc8c838-61d6-4d4a-a291-a10be58a9a84 (old id 1116096)
date added to LUP
2008-07-09 15:29:34
date last changed
2017-01-01 07:00:50
@article{6bc8c838-61d6-4d4a-a291-a10be58a9a84,
  abstract     = {Few cases of atrial fibrillation can be completely excused from the possibility of having some impact of potential importance in the aviation environment. The clinical pattern in paroxysmal disturbance is very wide and possible incapacitating phenomena are mainly haemodynamic. In contrast, chronic atrial fibrillation is mostly well-tolerated with only minimal haemodynamic effect, but there is a risk of thromboembolism, suggesting the need for anti-thromboembolic treatment. A subgroup with chronic atrial fibrillation with a very low risk may be defined, allowing avoidance of anti-thromboembolic treatment and a positive attitude towards aeromedical certification. Such individuals are likely to be normotensive males, under the age of 60 years, with a normal left (and right) heart configuration on electrocardiography.},
  author       = {Olsson, Bertil},
  issn         = {1520-765X},
  keyword      = {Atrial fibrillation,Excitability disorder,Arrhythmia,Crew,Professional qualification,Atrial flutter,Cardiovascular disease,Heart disease,Risk analysis,Pathophysiology,Treatment,Human,Air transportation},
  language     = {eng},
  number       = {Suppl. D},
  pages        = {94--97},
  publisher    = {Oxford University Press},
  series       = {European Heart Journal Supplements},
  title        = {Atrial fibrillation and flutter: aeromedical considerations. New strategies for management and intervention},
  volume       = {1},
  year         = {1999},
}