"iDoctor – Medical Blog"

Publication year: 2009
Source: The American Journal of Cardiology, In Press, Corrected Proof, Available online 3 December 2009
Gian M., Novaro , Howard S., Bush , Kenneth R., Fromkin , Michael Y., Shen , Marcelo, Helguera , …

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%…

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