As the weather gets nicer, many of us begin to think about traveling. Whether it’s the great American road trip, a jet set across the world or something in between, the next few months are often full of grand plans. For those who have a heart condition, the stress of planning is compounded by worry about the heart. But there’s no need to worry. With some preparation, the vast majority of people with a heart condition can travel safely. Finding answers to these questions ahead of time can reduce your worry and set you up for a stress-free vacation.
Can I travel?
For most people, the answer is yes — with some exceptions. For example, if you’ve had a coronary stent placed within the last two weeks or are experiencing exacerbation of your condition, it’s probably not the best time to travel. Every case is individual, though, so, touching base with your doctor before making travel plans is a good idea. When having the conversation with your doctor about travel, it’s helpful to be specific. Questions you should ask include: 1) What is the risk of a sudden worsening of my condition?; 2) Are those risks increased by flying/long car trips (or whatever your vacation will involve)?; and 3) In what situations would I need very rapid medical attention — and how likely is that situation?
[See: 17 Ways Heart Health Varies in Women and Men.]
Will my stent/pacemaker/other heart device set off the metal detectors at the airport?
For the most part, heart devices are safe to pass through the detectors at the airport. Stents and valves can all safely pass through without setting off any alarms. However, there are two exceptions:
1. Some pacemakers don’t always react well to the magnetic wands that are used. If you inform the TSA agent of the presence of your pacemaker, he or she will perform the search safely without the use of the wand.
2. The other exception is a ventricular assist device, or VAD. If you have one of these, I usually suggest you discuss any travel plans in detail with your doctors to figure out the best plan for you.
What precautions should I take?
Preparation is the best medicine for a hassle-free travel experience. Keep lists of your doctors and their phone numbers, medications and medical conditions on hand. Make sure you have enough medications for the whole journey. It’s also a good idea to allow for some extra — in case your travel plans change or get delayed. If you have an implantable device of any sort, you can ask your doctor for a letter describing the device. Identify medical centers near your destinations, so you know where to go in an emergency.
[See: The 12 Best Heart-Healthy Diets.]
Will I able to enjoy the local food?
Food is often an important part of the travel experience, but it’s vital to balance the risks carefully. For my patients, I usually suggest identifying one cheat meal or cheat day per week. This gives you something to look forward to during a trip — and it makes you feel like you’re making the most of your vacation, but still acknowledges limits. I also try to have a conversation with my patients about different types of food and why they’re safe to eat (or should be avoided) before a vacation. Understanding the rationale and parameters of your prescribed diet can help you make good decisions while still maximizing your enjoyment.
What about alcohol?
Unfortunately, there is no one-size-fits all answer to the question of alcohol. For some conditions, like atrial fibrillation, alcohol is a known trigger and can make the condition worse. For other conditions, like heart failure, the amount of safe alcohol varies greatly between patients. For others still, a small amount of alcohol may provide protection from the long-term risks of a heart attack. The best answer to the alcohol question is to have a discussion with your doctor. Remember to ask for the rationale for whatever limit is set — understanding why and how much will help considerably in figuring out what is and isn’t OK on a vacation.
[See: The Facts on Heart Disease.]
Travel will never be stress-free, and when you have a medical condition, it won’t be worry-free, either. But by asking your doctor the right questions and taking a little time to prepare for the medical needs you may encounter on your trip, you can follow your heart to wherever it may take you.
More from U.S. News
How to Avoid a Second Heart Attack
The 12 Best Heart-Healthy Diets
6 Drugs That Can Worsen or Increase Risk for Heart Failure
How to Travel With Heart Disease originally appeared on usnews.com
