Travel with Arrhythmia: Practical Tips to Keep You Moving

Arrhythmia doesn't have to ground you. People with AFib, PVCs, pacemakers, or ICDs travel every day; they just plan smarter. These are clear, useful steps you can use before and during a trip so your heart rhythm stays as stable as possible.

Pre-trip checklist: what to sort out first

See your cardiologist a few weeks before you go. Ask for a short note stating your diagnosis, current meds and doses, recent test results (EKG, INR if you’re on warfarin), and emergency contact details. Get a 30–90 day supply of medicines and a written prescription so you can replace pills if lost.

Pack meds in original bottles plus a daily pill organizer and keep them in your carry-on. Put a printed list of meds and allergies in your wallet and phone. If you have a pacemaker or ICD, carry the device ID card and the manufacturer name/model—airports and hospitals might ask for it.

Buy travel insurance that covers cardiac events and check which hospitals are near your destination. If you use oxygen, a wearable monitor, or need injections, confirm airline and cruise rules and get written airline approval early.

On the plane and during travel: simple habits that matter

Long travel can trigger symptoms through dehydration, stress, or inactivity. Drink water, skip excessive alcohol and caffeine, and stand or walk every hour on long flights. Do ankle pumps and calf stretches to improve circulation—these moves cut down on swelling and help your blood flow.

If you’re on blood thinners, check your INR before travel and learn where to get it checked abroad. Wear compression stockings for flights over four hours, especially if you have swelling or a history of clots. Ask your doctor about timing doses across time zones so you don’t double-dose or miss pills.

Airport screening: metal detectors are usually fine for pacemakers and ICDs, but notify staff and show your device card. You can request a hand search instead of walking through a full-body scanner if you prefer. Avoid sitting too long in cramped seats—book an aisle seat if you can.

Know early-warning signs for trouble—dizziness, fainting, chest pain, or rapid irregular heartbeat—and have a plan. Save local emergency numbers and the address of the nearest hospital. Share your travel plans with a friend or family member and tell them who to call if you have problems.

Finally, manage stress and sleep. Jet lag and anxiety can provoke arrhythmias. Adjust your sleep schedule a few days before travel, use relaxation breathing, and avoid extreme exertion on day one at your destination.

Travel with arrhythmia is doable when you prepare. Do the medical paperwork, organize meds smartly, control hydration and movement during trips, and know where to get help. Small steps make a big difference—so you can enjoy the journey without constant worry.