PMID- 17352280
OWN - NLM
STAT- MEDLINE
DCOM- 20070403
LR  - 20070313
IS  - 0017-7768 (Print)
IS  - 0017-7768 (Linking)
VI  - 146
IP  - 2
DP  - 2007 Feb
TI  - [Return to work with heart disease].
PG  - 113-9, 165
AB  - Cardiovascular disease is the leading cause of death in developed countries (40% 
      of all causes of mortality). Heart disease is common in the working age 
      population and thus it contributes to a decline in employees' fitness for work. 
      In Israel about 80% of patients recuperating from myocardial infarction (MI) 
      return to work. However, long term employment may be as low as 50% and its 
      patterns are associated predominantly with patient age and job characteristics, 
      as compared to measures of illness severity or the method of coronary 
      revascularization. The need for clinical guidelines in the management of return 
      to work after myocardial infarction has recently led to the initiation of a joint 
      committee of the Israeli National Heart and Occupational Societies. These 
      clinical guidelines have been published and are summarized in this issue. For 
      most common cardiac disease, including heart failure, valve disease and angina, 
      patients can exert themselves up to onset of symptoms. Therefore, patients with 
      functional capacity I and II, as estimated by New York Heart Association (NYHA) 
      criteria, can return to their previous work. Timing of return to work for 
      patients with asymptomatic uncomplicated cardiac disease: Post MI within 4 weeks, 
      CABG within 4-8 weeks and percutaneous interventions within 1 week. For patients 
      with a strenuous job or in NYHA functional capacity III or IV, a few weeks of 
      delay and exercise or other functional testing may be needed. There are a few 
      exceptions including patients with strenuous work or specific cardiac diseases as 
      hypertrophic cardiomyopathy, severe aortic stenosis and Marfan's syndrome. In 
      such cases, cardiological and occupational specialist advice should be sought.
FAU - Moshe, Shlomo
AU  - Moshe S
AD  - Occupational Clinic, Central District, Maccabi Healthcare Services, Tel Aviv, 
      Israel.
FAU - Levy, Doron
AU  - Levy D
FAU - Silver, Haim
AU  - Silver H
LA  - heb
PT  - English Abstract
PT  - Journal Article
PT  - Review
PL  - Israel
TA  - Harefuah
JT  - Harefuah
JID - 0034351
SB  - IM
MH  - Coronary Artery Bypass
MH  - *Employment
MH  - Heart Diseases/*rehabilitation
MH  - Humans
MH  - Israel
MH  - Myocardial Infarction/*rehabilitation/*surgery
MH  - Time Factors
RF  - 30
EDAT- 2007/03/14 09:00
MHDA- 2007/04/04 09:00
CRDT- 2007/03/14 09:00
PHST- 2007/03/14 09:00 [pubmed]
PHST- 2007/04/04 09:00 [medline]
PHST- 2007/03/14 09:00 [entrez]
PST - ppublish
SO  - Harefuah. 2007 Feb;146(2):113-9, 165.