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PubMed1971

Return to work after myocardial infarction.

One hundred and twelve patients who were 64 years of age or younger and who were employed at the time of their first myocardial infarction were studied to determine the vocational end-result following myocardial infarction. Ninety-seven patients were available for followup: 70 had resumed previous employment, nine were in physically less demanding work, seven were working part-time and 11 were unemployed. Four of the last group had adequate grounds for retirement, but seven were unemployed without adequate medical reasons. Poor medical advice and readily obtainable disability pensions appear to be the major factors responsible for unnecessary unemployment. It is apparent that expert cardiac evaluation followed by vocational assessment and assistance is required before classifying any patient as permanently unemployable.

Aged↗
PubMed1977

Return to work.

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Attitude of Health Personnel↗
PubMed1983

[Return to work after myocardial infarction].

The working status of 41 men under the age of 60, who developed myocardial infarction while in vocational activity was investigated by means of a questionnaire, 3 years on average after the infarction: 63% had resumed work some time after the disease and 59% were working when the enquiry was made. The ability to resume work cannot be predicted from the patient's medical condition at the time of infarction (location of the infarct, complications during the acute stage, left ventricular ejection fraction). The only unfavourable factors are age and the presence of residual angina or marked post-infarction dyspnoea, although most patients who had not resumed work were fit for employment. Clinicians should be fully aware of the occupational future of patients with coronary artery disease--a future that is particularly at stake in this period of economic crisis in industrial countries.

Disability Evaluation↗
PubMed1984

Clinical findings and return to work after heart valve replacement.

One hundred and thirteen patients operated during the years 1971 to 1976, were re-examined at an average of 26.3 months after heart valve replacement. The functional capacity assessed by the NYHA-classification improved in about 40% of the patients. About 80% considered their symptoms and well-being to have improved after the operation. At the re-examination, heart size was most often enlarged in patients with mitral valve replacement. The average work load measured in bicycle ergometer test was higher in patients with aortic valve replacement compared to those with mitral valve replacement. Patients with aortic valve replacements were working more often (54%) than those with mitral valve replacements (37%). The mean age of patients who were working was significantly lower than in patients who were retired. There was a statistically significant relation between the physical working capacity and the working status. The employability assessed by history and clinical findings corresponded well to the actual work situation in individual patients.

Aortic Valve↗