cialix and make sure that there are actually some advanced heart failure center in case some emergency happen at their point of destination so some logistics for for them to figure out but otherwise altitude is not the country medication for for LVAD patients as long as they as long as they stay well hydrated during the flight for patients with cardiac arrhythmias and recent pacemakers or ICD it is recommended for them to have their device cards at hand as well as most recent EKG and once they go through the customs or pre-flight search the hand search is preferable it is very uncommon and unusual to induce any any artifacts or arrhythmias by the metal detectors but still it is preferable to have a hand search for this type of patient next the topic of female tomba embolism and air travel as I mentioned before hypoxia prologue in immobilized position induces the venous stasis and we can put patients at risk for venous thromboembolism
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