cyanotic congenital heart disease and fitness to fly (flying)

Last edited 08/2019

Condition Functional status Lay explanation Restriction/guidance
Cyanotic congenital heart disease

NYHA I&II

You have congenital heart disease with blue blood and get breathless on mild to moderate exertion but no recent (within 6 weeks) change of symptoms or medication May require in-flight oxygen*
 

NYHA III

You have congentil heart disease with blue blood and get breathless on walking 20-100 yards/metres but no recent (within 6 weeks) change of symptoms or medication Consider airport assistance and may require in flight oxygen advisable*
 

NYHA IV

You have conginital heart disease with blue blood and get breathless at rest and mainly bedbound but no recent (within 6 weeks) change of symptoms or medication Advised not to fly without in flight oxygen and airport assistance available*

Note that these are only guidelines and each airline has its own regulations and medical standards.

* = consider at high risk of DVT/VTE (Deep vein thrombosis/Venous thromboemolism)

Reference:

  • British Heart Foundation (September 2010). Factfile - Fitness to fly for passengers with cardiovascular disease.