Document Detail

Work capacity after myocardial revascularization: factors related to work resumption.
MedLine Citation:
PMID:  3072206     Owner:  NLM     Status:  MEDLINE    
For patients with coronary artery disease the ability to retain or resume a normal occupation must be one of the goals of myocardial revascularization procedures. Provided myocardial revascularization is sufficiently complete and left ventricular function is not severely impaired, this goal should be achieved in virtually all cases. The rates of return to work after coronary surgery, however, are often lower than what could be expected. Analysis of the factors related to work resumption after coronary surgery shows that non-medical preoperative parameters (age, educational level, type of occupation, and, most of all, length of preoperative unemployment) are major predictors of subsequent re-employment, whereas medical preoperative factors have little or no influence on return to work. In contrast, re-employment following coronary surgery is strongly influenced by the success of the revascularization procedure, with much fewer patients resuming work in case of poor exercise capacity or persisting angina after surgery. Percutaneous transluminal coronary angioplasty is usually given to patients with less extensive coronary artery disease, and rates of return to work higher than after surgery are observed; re-employment after PTCA is also influenced by the initial result of the procedure. Recognition of the factors negatively influencing return to work after myocardial revascularization is important in an attempt to improve work resumption by appropriate medical, psychological and social measures.
N Danchin
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  European heart journal     Volume:  9 Suppl L     ISSN:  0195-668X     ISO Abbreviation:  Eur. Heart J.     Publication Date:  1988 Nov 
Date Detail:
Created Date:  1989-05-26     Completed Date:  1989-05-26     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8006263     Medline TA:  Eur Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  44-7     Citation Subset:  IM    
Service de Cardiologie B, Chu Nancy-Brabois, Vandoeuvre, France.
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MeSH Terms
Angina Pectoris / etiology
Coronary Disease / surgery
Myocardial Revascularization / rehabilitation*
Postoperative Complications / etiology
Work Capacity Evaluation*

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

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