Flying And Strokes: Is There A Risk?

can you get a stroke from flying

Flying after experiencing a stroke is a common concern for stroke survivors. While it is generally considered safe for most people to fly after a stroke, there are several factors that need to be considered to ensure a safe journey. The type of stroke, the time since the stroke, and individual risk factors all play a role in determining whether it is safe for a person to fly. Additionally, the risk of developing blood clots during air travel needs to be carefully assessed and mitigated.

Characteristics Values
Incidence of stroke while flying Very low
Risk factors Hypercoagulability, reduced oxygen levels, delayed medical treatment
Precautions Wear compression socks, move frequently, allow extra time, keep medication accessible, travel with a companion
Waiting period after a stroke Stroke Association recommends at least two weeks, American Heart Association recommends waiting until stable and recovered
Risk of stroke after flying Increased, especially in the first six months

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The risk of stroke is higher after a recent stroke

According to the Stroke Association, it is best to wait at least two weeks before flying after a stroke. This is because the risk of a second stroke is heightened after the first, and the initial problems and complications are likely to be most severe during this period. In the most severe cases, patients may want to wait up to three months before flying. The risk of a recurrent stroke is a concern for all survivors, and flying increases this risk, especially in the first 6 months to a year.

The risk of developing a blood clot is increased during and after air travel, and long-haul flights can elevate this risk by 26%. Inactivity in cramped spaces can lead to deep vein thrombosis (DVT), where a blood clot forms in the leg. This clot can then travel to the brain, causing a stroke.

However, it is important to note that the incidence of stroke while flying is low. Research from an Australian group of medical researchers found that strokes related to air travel occurred in less than one in a million passengers. Similarly, a Spanish group of researchers found that a stroke occurred at a rate of one per 35,000 flights.

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Reduced oxygen levels in the plane

The air pressure is lower on a plane, which means less oxygen is available to fuel your body, including the brain. During stroke recovery, oxygen is critical for recovery. Hence, it is best to avoid sitting in an environment with less oxygen for prolonged periods of time.

Reduced oxygen levels while flying are unlikely to pose a risk for survivors of stroke. However, this can be an issue for those with comorbidities such as breathing difficulties or a heart condition. It is best to speak with your doctor to determine if flying is a safe option for you.

Risks of flying after a stroke

The risk of a recurrent stroke is a concern for all survivors, and flying increases this risk. It should be considered carefully, especially in the first 6 months to a year after a stroke. Overall, it’s up to your doctor to decide if and when it is safe for you to fly after a stroke.

Tips for flying after a stroke

  • Contact the airline to arrange special assistance (72 hours to one week in advance).
  • Travel with a companion.
  • Get travel insurance.
  • Give yourself an extra hour to get through security and walk to your terminal.
  • Keep medication in your carry-on bag.
  • Carry medical documentation and declare medication upon arrival in a new country.
  • Wear compression socks.
  • Walk around as movement helps prevent blood clotting.
  • Be mindful of what you eat and drink.

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Delayed medical treatment

In the event that you experience a stroke mid-flight, the pilot may attempt an emergency landing to get you to the nearest hospital. However, this may not always be possible, and the time it takes to receive appropriate treatment may be prolonged.

Some stroke interventions, such as TPA (tissue plasminogen activator), must be administered promptly. This is why doctors recommend waiting for a certain period after a stroke before flying.

The incidence of strokes while flying is low, but caution and consultation with your medical team are advised.

Tips for Flying After a Stroke

  • Contact the airline to arrange special assistance, such as vision or hearing assistance, wheelchair service, and mobility and medical device transport.
  • Travel with a companion who can assist you if needed.
  • Get travel insurance to protect your trip and ensure coverage for medical care abroad.
  • Keep medication in your carry-on bag and bring enough for your entire trip.
  • Carry medical documentation and declare any medication upon arrival at your destination.
  • Wear compression socks to improve circulation and prevent blood clots.
  • Stay hydrated, avoid salty snacks, and be mindful of what you eat and drink to maintain healthy blood pressure.
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Blood clots

Deep vein thrombosis can dissolve on its own without causing any harm. However, in some serious cases, it can lead to pain, swelling, and warmth in the affected leg. Additionally, a piece of the clot may break off and travel to the lungs, resulting in a pulmonary embolism (PE). This condition can be life-threatening, as it blocks the arteries in the lungs and may cause heart failure.

The risk factors for developing blood clots during air travel include:

  • Use of oral contraceptives
  • Recent surgeries or medical procedures
  • Age (higher risk for those over 60)
  • History of previous blood clots
  • Family history of blood clots
  • Chronic inflammatory diseases

To prevent blood clots during air travel, it is recommended to:

  • Stretch and exercise your legs by walking around the plane every few hours and changing positions in your seat
  • Wear compression socks to promote better blood circulation in your legs
  • Choose a spacious seat, such as an aisle or bulkhead seat, or pay for extra legroom to allow for easier movement
  • Stay hydrated by drinking water and avoiding dehydrating beverages like alcohol or coffee
  • Avoid crossing your legs, as it reduces blood circulation
  • Wear loose, comfortable clothing that doesn't restrict blood flow

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Stroke survivors may need assistance

Suffering a stroke can be a life-altering event, and survivors may need assistance in their recovery journey. The road to rehabilitation can be challenging, and support from caregivers, family, and the community is crucial. Here are some ways in which stroke survivors may require assistance:

Medical and Rehabilitation Support

The treatment of a stroke patient is multidisciplinary, requiring a team of medical professionals. This team may include rehabilitation specialists, rehabilitation nurses, physical therapists, occupational therapists, recreation therapists, speech and language therapists, and mental health professionals. These professionals work together to address the various needs of the survivor, ensuring they receive holistic care.

Social and Emotional Support

The impact of a stroke extends beyond physical challenges. Survivors often experience depression, isolation, and difficulties with speech and communication. Social interaction and connecting with others are essential for easing these emotional struggles. Support groups, family, and community resources can provide a network of support to lift the survivor's spirits, inspire them, and help them rebuild their identity.

Financial Assistance

The financial implications of a stroke can be significant and unpredictable. The costs of inpatient care, rehabilitation, and follow-up care can quickly add up. Organisations like the American Stroke Association offer resources to help navigate these financial challenges, including guides on Social Security Administration Benefits, managing prescription drug costs, and insurance coverage.

Travel Assistance

For stroke survivors considering air travel, assistance may be required to ensure a safe and comfortable journey. This can include arranging special assistance from the airline, such as vision or mobility assistance, and travelling with a companion. Additionally, stroke survivors should consult their doctor and consider factors such as the type of stroke and the time elapsed since the stroke before booking their trip.

Practical Support at Home

Caregivers play a vital role in the survivor's day-to-day life. They can help with medication management, ensuring a healthy diet, and providing emotional support. Caregivers should also be mindful of the survivor's physical needs, such as modifying the home environment to accommodate their needs and assisting with physical therapy exercises to improve balance and mobility.

In summary, stroke survivors may need a range of assistance, from medical care and rehabilitation to emotional, financial, and practical support. By seeking help and building a strong support network, survivors can enhance their recovery and improve their overall well-being.

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