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Related Concept Videos

Assessment of the Cardiovascular System I: Subjective Data01:23

Assessment of the Cardiovascular System I: Subjective Data

A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
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Psychoneuroimmunology: Cardiovascular Disease01:27

Psychoneuroimmunology: Cardiovascular Disease

Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
Factors Influencing Heart Rate01:30

Factors Influencing Heart Rate

The heart rate, or pulse rate, is a vital indicator of cardiovascular health. It reflects the number of times the heart beats per minute. Various physiological and environmental factors influence heart rate, increasing or decreasing cardiac output. Understanding these factors is crucial for assessing heart function and identifying potential health issues.
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Blood Studies for Cardiovascular System I: Cardiac Biomarkers01:20

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Coronary Artery Disease I: Introduction01:30

Coronary Artery Disease I: Introduction

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Exercise and Cardiovascular Response

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Related Experiment Videos

Cardiovascular Risk and Modifiable Risk Factors in Shift-Working Healthcare Workers: A Gender-Stratified

Gabriele d'Ettorre1, Gianmarco Giannelli1, Francesco Branda2

  • 1Department of Occupational Medicine, Local Health Authority of Lecce, 73100 Lecce, Italy.

Journal of Clinical Medicine
|June 12, 2026
PubMed
Summary

Male shift-working healthcare workers face higher cardiovascular risk, especially with longer work durations. This highlights the need for targeted prevention in hospital settings.

Keywords:
Italycardiovascular riskcross-sectional studyhealthcare workersshift work

Related Experiment Videos

Area of Science:

  • Occupational Health
  • Cardiovascular Epidemiology
  • Public Health

Background:

  • Shift-working healthcare workers (HCWs) experience chronic circadian disruption, increasing cardiovascular (CV) risk.
  • Limited gender-stratified data exists on CV risk and modifiable factors in Italian hospital HCWs based on work duration.
  • This study addresses the gap by examining CV risk profiles in shift-working HCWs in Southern Italy.

Purpose of the Study:

  • To characterize the 10-year cardiovascular risk profile of shift-working HCWs.
  • To analyze the distribution of modifiable risk factors stratified by gender and shift work duration.
  • To identify high-risk subgroups within the HCW population.

Main Methods:

  • A cross-sectional study utilized routine occupational health surveillance data from 765 shift-working HCWs in an Italian hospital.
  • The 10-year CV risk was calculated using the validated CUORE Project algorithm.
  • Multivariable logistic regression models assessed associations between risk factors, shift duration, and CV risk categories, adjusted for covariates.

Main Results:

  • Male HCWs exhibited significantly higher mean 10-year CV risk scores compared to females (4.98 vs. 1.34).
  • Among males, moderate/high CV risk increased with shift work duration, with odds ratios of 6.4 for over 30 years of work.
  • Males showed higher prevalence of hypertension, overweight, and obesity across all strata.

Conclusions:

  • Male shift-working HCWs constitute a higher-risk subgroup with a greater burden of modifiable cardiovascular risk factors.
  • Occupational health surveillance should integrate validated risk assessment tools for targeted prevention.
  • Proactive strategies are crucial to mitigate cardiovascular risks in this vulnerable healthcare worker population.