Cargando…
Contemporaneous management of valvular heart disease and aortopathy in aircrew
Valvular heart disease (VHD) is highly relevant in the aircrew population as it may limit appropriate augmentation of cardiac output in high-performance flying and predispose to arrhythmia. Aircrew with VHD require careful long-term follow-up to ensure that they can fly if it is safe and appropriate...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6256303/ https://www.ncbi.nlm.nih.gov/pubmed/30425087 http://dx.doi.org/10.1136/heartjnl-2018-313056 |
_version_ | 1783374118462160896 |
---|---|
author | D’Arcy, Joanna L Syburra, Thomas Guettler, Norbert Davenport, Eddie D Manen, Olivier Gray, Gary Rienks, Rienk Bron, Dennis Nicol, Edward D |
author_facet | D’Arcy, Joanna L Syburra, Thomas Guettler, Norbert Davenport, Eddie D Manen, Olivier Gray, Gary Rienks, Rienk Bron, Dennis Nicol, Edward D |
author_sort | D’Arcy, Joanna L |
collection | PubMed |
description | Valvular heart disease (VHD) is highly relevant in the aircrew population as it may limit appropriate augmentation of cardiac output in high-performance flying and predispose to arrhythmia. Aircrew with VHD require careful long-term follow-up to ensure that they can fly if it is safe and appropriate for them to do so. Anything greater than mild stenotic valve disease and/or moderate or greater regurgitation is usually associated with flight restrictions. Associated features of arrhythmia, systolic dysfunction, thromboembolism and chamber dilatation indicate additional risk and will usually require more stringent restrictions. The use of appropriate cardiac imaging, along with routine ambulatory cardiac monitoring, is mandatory in aircrew with VHD. Aortopathy in aircrew may be found in isolation or, more commonly, associated with bicuspid aortic valve disease. Progression rates are unpredictable, but as the diameter of the vessel increases, the associated risk of dissection also increases. Restrictions on aircrew duties, particularly in the context of high-performance or solo flying, are usually required in those with progressive dilation of the aorta. |
format | Online Article Text |
id | pubmed-6256303 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-62563032018-12-11 Contemporaneous management of valvular heart disease and aortopathy in aircrew D’Arcy, Joanna L Syburra, Thomas Guettler, Norbert Davenport, Eddie D Manen, Olivier Gray, Gary Rienks, Rienk Bron, Dennis Nicol, Edward D Heart Standards Valvular heart disease (VHD) is highly relevant in the aircrew population as it may limit appropriate augmentation of cardiac output in high-performance flying and predispose to arrhythmia. Aircrew with VHD require careful long-term follow-up to ensure that they can fly if it is safe and appropriate for them to do so. Anything greater than mild stenotic valve disease and/or moderate or greater regurgitation is usually associated with flight restrictions. Associated features of arrhythmia, systolic dysfunction, thromboembolism and chamber dilatation indicate additional risk and will usually require more stringent restrictions. The use of appropriate cardiac imaging, along with routine ambulatory cardiac monitoring, is mandatory in aircrew with VHD. Aortopathy in aircrew may be found in isolation or, more commonly, associated with bicuspid aortic valve disease. Progression rates are unpredictable, but as the diameter of the vessel increases, the associated risk of dissection also increases. Restrictions on aircrew duties, particularly in the context of high-performance or solo flying, are usually required in those with progressive dilation of the aorta. BMJ Publishing Group 2019-01 2018-11-13 /pmc/articles/PMC6256303/ /pubmed/30425087 http://dx.doi.org/10.1136/heartjnl-2018-313056 Text en © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Standards D’Arcy, Joanna L Syburra, Thomas Guettler, Norbert Davenport, Eddie D Manen, Olivier Gray, Gary Rienks, Rienk Bron, Dennis Nicol, Edward D Contemporaneous management of valvular heart disease and aortopathy in aircrew |
title | Contemporaneous management of valvular heart disease and aortopathy in aircrew |
title_full | Contemporaneous management of valvular heart disease and aortopathy in aircrew |
title_fullStr | Contemporaneous management of valvular heart disease and aortopathy in aircrew |
title_full_unstemmed | Contemporaneous management of valvular heart disease and aortopathy in aircrew |
title_short | Contemporaneous management of valvular heart disease and aortopathy in aircrew |
title_sort | contemporaneous management of valvular heart disease and aortopathy in aircrew |
topic | Standards |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6256303/ https://www.ncbi.nlm.nih.gov/pubmed/30425087 http://dx.doi.org/10.1136/heartjnl-2018-313056 |
work_keys_str_mv | AT darcyjoannal contemporaneousmanagementofvalvularheartdiseaseandaortopathyinaircrew AT syburrathomas contemporaneousmanagementofvalvularheartdiseaseandaortopathyinaircrew AT guettlernorbert contemporaneousmanagementofvalvularheartdiseaseandaortopathyinaircrew AT davenporteddied contemporaneousmanagementofvalvularheartdiseaseandaortopathyinaircrew AT manenolivier contemporaneousmanagementofvalvularheartdiseaseandaortopathyinaircrew AT graygary contemporaneousmanagementofvalvularheartdiseaseandaortopathyinaircrew AT rienksrienk contemporaneousmanagementofvalvularheartdiseaseandaortopathyinaircrew AT brondennis contemporaneousmanagementofvalvularheartdiseaseandaortopathyinaircrew AT nicoledwardd contemporaneousmanagementofvalvularheartdiseaseandaortopathyinaircrew |