A: Dear Vicki, There are many travellers in their 60s and 70s who want to travel to places where altitude is a problem, and cardiac disease can be affected by heights above 2500m. Much of Ecuador is at heights around 2200-3500m, so people with known heart disease should be careful in selecting their itinerary, and ensure that their health is stable. You should have a thorough review by the treating specialist before going in order to know that you are well, stable, and able to tolerate the mildly oxygen-deficient conditions. In heart-disease travellers, who have no symptoms, are well controlled and have reasonable exercise tolerance, they mostly have no problems on well planned itineraries that allow rest and a gentle pace. Get a letter from your specialist indicating your overall health, and then visit our clinic for the appropriate vaccines, and medical kit.
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