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Cardiovascular emergencies in cruise ship passengers.
Am J Cardiol. 2010 Jan 15; 105(2):153-7.AJ

Abstract

More than 10 million people, many elderly and likely to harbor cardiovascular (CV) disease, embark on cruise ship travel worldwide every year. The clinical presentation and outcome of CV emergencies presenting during cruise ship travel remain largely unknown. Our department provides contracted cardiology consultations to several large cruise lines. We prospectively maintained a registry of all such consultations during a 2-year period. One hundred consecutive patients were identified (age 66 +/- 14 years, range 18 to 90, 76% men). The most common symptom was chest pain (50%). The most common diagnosis was acute coronary syndrome (58%; ST elevation in 21% and non-ST elevation in 37%). On-board mortality was 3%. Overall, 73% of patients required hospital triage. Of the 25 patients triaged to our institution, 17 underwent a revascularization procedure. One patient died. Ten percent of patients had cardiac symptoms in the days or weeks before boarding; all required hospital triage. Access to a baseline electrocardiogram would have been clinically useful in 23% of cases. In conclusion, CV emergencies, such as acute coronary syndrome and heart failure, are not uncommon on cruise ships. They are often serious, requiring hospital triage and coronary revascularization. A pretravel medical evaluation is recommended for passengers with a cardiac history or a high-risk profile. Passengers should be encouraged to bring a copy of their electrocardiogram on board if abnormal. Cruise lines should establish mechanisms for prompt consultation and triage.

Authors+Show Affiliations

Department of Cardiology, Cleveland Clinic Florida, Weston, Florida, USA. novarog@ccf.orgNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20102910

Citation

Novaro, Gian M., et al. "Cardiovascular Emergencies in Cruise Ship Passengers." The American Journal of Cardiology, vol. 105, no. 2, 2010, pp. 153-7.
Novaro GM, Bush HS, Fromkin KR, et al. Cardiovascular emergencies in cruise ship passengers. Am J Cardiol. 2010;105(2):153-7.
Novaro, G. M., Bush, H. S., Fromkin, K. R., Shen, M. Y., Helguera, M., Pinski, S. L., & Asher, C. R. (2010). Cardiovascular emergencies in cruise ship passengers. The American Journal of Cardiology, 105(2), 153-7. https://doi.org/10.1016/j.amjcard.2009.09.004
Novaro GM, et al. Cardiovascular Emergencies in Cruise Ship Passengers. Am J Cardiol. 2010 Jan 15;105(2):153-7. PubMed PMID: 20102910.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cardiovascular emergencies in cruise ship passengers. AU - Novaro,Gian M, AU - Bush,Howard S, AU - Fromkin,Kenneth R, AU - Shen,Michael Y, AU - Helguera,Marcelo, AU - Pinski,Sergio L, AU - Asher,Craig R, Y1 - 2009/12/03/ PY - 2009/05/19/received PY - 2009/09/03/revised PY - 2009/09/03/accepted PY - 2010/1/28/entrez PY - 2010/1/28/pubmed PY - 2010/2/26/medline SP - 153 EP - 7 JF - The American journal of cardiology JO - Am J Cardiol VL - 105 IS - 2 N2 - More than 10 million people, many elderly and likely to harbor cardiovascular (CV) disease, embark on cruise ship travel worldwide every year. The clinical presentation and outcome of CV emergencies presenting during cruise ship travel remain largely unknown. Our department provides contracted cardiology consultations to several large cruise lines. We prospectively maintained a registry of all such consultations during a 2-year period. One hundred consecutive patients were identified (age 66 +/- 14 years, range 18 to 90, 76% men). The most common symptom was chest pain (50%). The most common diagnosis was acute coronary syndrome (58%; ST elevation in 21% and non-ST elevation in 37%). On-board mortality was 3%. Overall, 73% of patients required hospital triage. Of the 25 patients triaged to our institution, 17 underwent a revascularization procedure. One patient died. Ten percent of patients had cardiac symptoms in the days or weeks before boarding; all required hospital triage. Access to a baseline electrocardiogram would have been clinically useful in 23% of cases. In conclusion, CV emergencies, such as acute coronary syndrome and heart failure, are not uncommon on cruise ships. They are often serious, requiring hospital triage and coronary revascularization. A pretravel medical evaluation is recommended for passengers with a cardiac history or a high-risk profile. Passengers should be encouraged to bring a copy of their electrocardiogram on board if abnormal. Cruise lines should establish mechanisms for prompt consultation and triage. SN - 1879-1913 UR - https://www.unboundmedicine.com/medline/citation/20102910/Cardiovascular_emergencies_in_cruise_ship_passengers_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9149(09)02314-5 DB - PRIME DP - Unbound Medicine ER -