Document Detail

Occupational work evaluation of patients with cardiac disease: a guide for physicians.
MedLine Citation:
PMID:  7164431     Owner:  NLM     Status:  MEDLINE    
The capacity of cardiac patients to work in their occupations reflects a complex interaction of medical and nonmedical factors. Medical considerations include prognosis and the ability of patients to tolerate the physical, environmental and psychological aspects of their occupation. Nonmedical factors include the patient's satisfaction with the job, economic motivation to work and perceived risk of continued work. Patients' perceptions of their capacity to work and the risks of such work are especially important determinants of occupational work status after myocardial infarction and coronary operations. Symptom-limited treadmill exercise testing carried out three to four weeks after the acute event not only clarifies prognosis and quantitates functional capacity but helps patients to realistically assess their capacity for work. Approximately half of postinfarction patients are found by such testing to have a very low first-year mortality of less than 2 percent. Functional capacity is well maintained in these patients: they do not require formal reconditioning in order to resume their occupational work soon (three to five weeks) after infarction. Exercise testing performed soon after myocardial infarction and coronary artery operation affords practical guidelines for clearing a person to return to work and obviates much of the medically unwarranted disability that follows these events.
R F DeBusk; C A Dennis
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The Western journal of medicine     Volume:  137     ISSN:  0093-0415     ISO Abbreviation:  West. J. Med.     Publication Date:  1982 Dec 
Date Detail:
Created Date:  1983-04-07     Completed Date:  1983-04-07     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0410504     Medline TA:  West J Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  515-20     Citation Subset:  IM    
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MeSH Terms
Angina Pectoris / diagnosis
Coronary Disease / rehabilitation*,  surgery
Disability Evaluation*
Myocardial Infarction / rehabilitation
Postoperative Period
Work Capacity Evaluation*
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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