Return to work after an acute myocardial infarction: a review

The rate of return to work after an acute myocardial infarction (AMI) is decreased among previously working women, blue-collar workers particularly with physically strenuous jobs, and persons with emotional problems. Although more severe AMIs decrease return to work rates, psychosocial factors appear to be more prominent in their effects on the rates. Supportive psychotherapy as well as specific advice to return to work for patients with uncomplicated AMIs shortens length of convalescence. Little evidence exists, however, that current interventions largely geared to improving cardiac status have any impact on ultimate return to work. Specific interventions tailored to individuals at risk of not working may increase rates of return to work.