The risk of venous thromboembolism from air travel
BMJ 2001; 322 doi: https://doi.org/10.1136/bmj.322.7280.188 (Published 27 January 2001) Cite this as: BMJ 2001;322:188The evidence is only circumstantial
- George Geroulakos (GGeroulakos@eht.nhs.uk), senior lecturer in vascular surgery
- Department of Surgery, Charing Cross Hospital, London W6 8RF
There has recently been increased publicity on the risk of venous thromboembolism after long haul aeroplane flights.1 This was generated by the death of a 27 year old woman from a pulmonary embolism immediately after she disembarked from a flight from Australia to London.2 So far there is only circumstantial,1 but no epidemiological, evidence connecting air travel with venous thrombosis.
Homans first reported venous thrombosis related to air travel in a 54 year old doctor who developed a deep vein thrombosis after a 14 hour flight.3 This condition was first termed economy class syndrome by Symington and Stack.4 Venous stasis, caused by prolonged sitting in the “coach” position in a cramped aeroplane, was considered to be the main causal factor. Similar conditions to air travel, such as sitting for many hours in air raid shelters in London during the Blitz, were associated with a sixfold rise in sudden death …
Log in
Log in using your username and password
Log in through your institution
Subscribe from £173 *
Subscribe and get access to all BMJ articles, and much more.
* For online subscription
Access this article for 1 day for:
£38 / $45 / €42 (excludes VAT)
You can download a PDF version for your personal record.