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[Cardiovascular disease and professional activities]
D Gamberale1, A Pecora, M Ardù
1Dipartimento di Prevenzione, U.O.C. Servizio PreSAL AUSL RME, Roma, Italy.
Insights
Cardiovascular diseases are a major cause of death in industrial nations. Occupational factors like shift work and noise exposure increase coronary disease risk, impacting work reintegration.
Area of Science:
- Occupational health and cardiovascular medicine.
Context:
- Cardiovascular diseases (CVDs) are a leading cause of mortality and disability in industrialized countries.
- Prevention of heart disease is a key public health objective in Italy.
- Occupational exposures, including shift work, vibrations, microclimate, and noise, are linked to increased coronary disease risk.
Purpose:
- To highlight the connection between occupational factors and cardiovascular diseases.
- To discuss challenges in work reintegration for patients with coronary diseases.
- To evaluate the effectiveness of occupational health services in identifying work-related cardiovascular issues.
Summary:
- Coronary disease rates are significantly higher (40%) in shift workers and those exposed to occupational hazards.
- Extra-auditory effects of noise and other environmental factors pose risks.
- Assessing cardiovascular health is crucial for occupational readaptation, especially after acute cardiac events.
- Limited use of specific diagnostic tests may lead to underestimation of occupational cardiovascular diseases by services like PreSAL.
Impact:
- Emphasizes the need for comprehensive cardiovascular assessments in occupational health evaluations.
- Suggests improved diagnostic protocols are necessary to accurately identify work-related cardiovascular conditions.
- Informs public health strategies for CVD prevention and management in the workforce.
Abstract:
Cardiovascular diseases occurrence in the industrial countries is very high and represents one of the major cause of invalidity and mortality. Studies show the close connection between cardiovascular diseases and other risk factors. In Italy heart diseases prevention is one of the main goals of the National Centre for Disease Prevention and Control. Coronary disease increased by 40% among shift-workers and those workers exposed to vibrations and microclimate; extra-auditory effects of noise have also proved to be relevant. Reintegration into labour market and work eligibility certificate can be a problem for patients with coronary diseases, after pathological events. A record of the cardiovascular system could be useful for a readmission to work, in particular after acute episodes. The PreSAL service on the basis of the 2009 data provided by qualified doctors did not show professional diseases but the undervalue may be due to the limited use of specific complementary tests.
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