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Return to work after myocardial infarction.

R D Wigle, D C Symington, M Lewis

    Canadian Medical Association Journal
    |February 6, 1971
    PubMed
    Summary
    This summary is machine-generated.

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    Many myocardial infarction patients can return to work with proper support. Poor medical advice and easy disability pensions contribute to unnecessary unemployment, highlighting the need for cardiac and vocational assessments.

    Area of Science:

    • Cardiology
    • Occupational Medicine
    • Rehabilitation

    Background:

    • Myocardial infarction (MI) significantly impacts a patient's ability to work.
    • Understanding vocational outcomes post-MI is crucial for patient recovery and societal contribution.
    • Previous employment status at the time of first MI was a key characteristic of the study cohort.

    Purpose of the Study:

    • To determine the vocational outcomes for patients younger than 65 years following their first myocardial infarction.
    • To identify factors contributing to unemployment among these patients.
    • To advocate for comprehensive assessment before deeming patients permanently unemployable.

    Main Methods:

    • A cohort of 112 employed patients (≤64 years) experiencing their first myocardial infarction was studied.

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  • Follow-up was conducted on 97 patients to assess their employment status.
  • Analysis focused on reasons for unemployment, including medical advice and disability pension accessibility.

    • Main Results:

    • A significant majority (70/97) resumed previous employment.
    • Other outcomes included transitioning to less demanding work (9), part-time employment (7), and unemployment (11).
    • Seven patients were unemployed without adequate medical justification, linked to poor medical advice and accessible disability pensions.

    Conclusions:

    • Many patients who have experienced a myocardial infarction can successfully return to their previous employment.
    • Inappropriate medical guidance and easily accessible disability pensions are significant barriers to vocational rehabilitation.
    • Expert cardiac evaluation coupled with vocational assessment is essential to prevent unnecessary long-term unemployment.