[Occupational cardiovascular diseases and phlebopathies]

The focus of the occupational physician to diseases of the cardiovascular system has always been high in relation to the presence in the work of specific risk factors, but also because of the high incidence and prevalence of disease in the general population cardiology chronic-degenerative diseases. The non-specificity and multifactorial diseases of the cardiovascular system, make an etiologic diagnosis of occupational disease extremely difficult. For this reason, increasingly, the occupational physician is faced with the specialist cardiologist on diseases that can be defined as work-related. Among the clinical conditions most frequently encountered by the occupational physician, considered to include hypertension, ischemic heart disease and arrhythmias. Exposure to work risk factors such as: high or low temperatures, the MMC, exposure to electromagnetic fields, and also those related to organization and psycho-social, including night work and work-related stress related, or exposure to chemicals such as organic solvents, especially halogenated, or nitrates, or carbon monoxide, are an aggravating factor in the clinical context of cardiovascular disease primarily unrelated to the etiology. All this underlines also the issue of fitness to work with high risk of accidents for the worker himself and to others, especially the suspension work, driving of vehicles in general, the roles of monitoring and oversight to senior management. From the above, the importance of careful assessment by the occupational physician and the need for good cooperation with the specialist cardiologist, for the formulation of the assessment of suitability for specific tasks.