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Return to work after myocardial infarction: A systematic review.
Tais Santana Barbosa1, Natasha Cordeiro Dos Santos1,2, Millena Pereira Costa1
1Roberto Santos General Hospital, Bahia, Brazil.
Journal of Cardiovascular and Thoracic Research
|March 16, 2026
Summary
Most working-age individuals return to work within a year after Myocardial Infarction (MI). Factors like job engagement and hospitalization duration influence this, necessitating supportive return-to-work strategies.
Area of Science:
- Cardiology
- Occupational Health
- Public Health
Background:
- Myocardial Infarction (MI) significantly impacts the working-age population, often leading to prolonged work disability.
- Understanding return-to-work patterns post-MI is crucial for economic and personal well-being.
Purpose of the Study:
- To systematically review evidence on return to work after Myocardial Infarction.
- To analyze correlations between return to work and disease severity, job engagement, and hospitalization duration.
Main Methods:
- Systematic review of 12 high-quality cohort studies (83,702 participants) from MEDLINE, Lilacs, Scielo, and Web of Science.
- Data collected November 2023 - June 2024, with quality assessed using the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies.
Main Results:
- Return-to-work rates ranged from 21.5%-41.7% at one month to 76.9%-92.7% at one year post-MI.
- Associated factors included physical, psychological, and social elements; some studies reported job modifications, salary reductions, and mental health issues.
Conclusions:
- Return to work after Myocardial Infarction is generally high within one year.
- Facilitating prompt return requires addressing physical, psychological, and social factors; further research on diverse populations and professions is needed.
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