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Economy Class Syndrome
Too Much Flying or Too Much Sitting?
Arch Intern Med. 2003;163:2674-2676.
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PULMONARY EMBOLISM (PE) and/or deep vein thrombosis (DVT) occurring during or soon after air travel has been termed the economy class syndrome.1 Three reports in this issue of the ARCHIVES provide additional insights regarding this syndrome.2-4
The syndrome presents as 2 very different scenarios. The most dramatic scenario is the occurrence of fatal or nonfatal PE during or immediately after a flight. This is the scenario that has caught the attention of the press (and some personal injury lawyers). The second scenario is the occurrence of PE or DVT days or weeks after a flight.
Lapostolle et al5 described 56 patients who were diagnosed with PE after arrival at Charles de Gaulle airport (Paris, France) from 1993 to 2000. In each case, the symptoms occurred during the flight, on standing on arrival, or in the Jetway. All had traveled more than 2480 miles (3968 km). Fortunately, only 1 patient . . . [Full Text of this Article] WHO IS AT RISK?
PREVENTION
James E. Dalen, MD, MPH, Editor
RELATED LETTER
Low-Molecular-Weight Heparin or Stockings for Preventing Coach Class Thrombosis?
Daniel J. Brotman and Amir K. Jaffer
Arch Intern Med. 2004;164(22):2500-2501.
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RELATED ARTICLES
Venous Thrombosis After Long-haul Flights
Thomas Schwarz, Gabriele Siegert, Wolfram Oettler, Kai Halbritter, Jan Beyer, Roswitha Frommhold, Siegmund Gehrisch, Florian Lenz, Eberhard Kuhlisch, Hans-Egbert Schroeder, and Sebastian M. Schellong
Arch Intern Med. 2003;163(22):2759-2764.
ABSTRACT
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Incidence of Air Travel–Related Pulmonary Embolism at the Madrid-Barajas Airport
Esteban Pérez-Rodríguez, David Jiménez, Gema Díaz, Ivan Pérez-Walton, Manuel Luque, Carmen Guillén, Eva Mañas, and Roger D. Yusen
Arch Intern Med. 2003;163(22):2766-2770.
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Risk of Venous Thromboembolism After Air Travel: Interaction With Thrombophilia and Oral Contraceptives
Ida Martinelli, Emanuela Taioli, Tullia Battaglioli, Gian Marco Podda, Serena Maria Passamonti, Paola Pedotti, and Pier Mannuccio Mannucci
Arch Intern Med. 2003;163(22):2771-2774.
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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