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Introduction Introduction
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Life before coronary heart disease Life before coronary heart disease
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Life and work with coronary heart disease Life and work with coronary heart disease
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Percutaneous coronary intervention (PCI) Percutaneous coronary intervention (PCI)
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Coronary artery bypass grafting (CABG) Coronary artery bypass grafting (CABG)
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Rehabilitation programmes Rehabilitation programmes
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Risk evaluation Risk evaluation
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The 1% rule The 1% rule
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Exercise testing Exercise testing
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Driving Driving
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Special circumstances Special circumstances
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Stress Stress
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Travel Travel
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Particular occupations Particular occupations
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Exposure to toxic substances Exposure to toxic substances
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Seafarers Seafarers
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Working in hot conditions Working in hot conditions
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Working in cold conditions Working in cold conditions
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Implanted devices Implanted devices
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Retirement and end of life Retirement and end of life
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Further reading Further reading
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16.13.8 The impact of coronary heart disease on life and work
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Published:May 2010
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This version:October 2015
Updated in this version:
Update:
This chapter has been retired and will not be updated further. The subject matter of this chapter is to be found in chapters 16.13.4, 16.13.5, 16.13.6, and 16.13.7 of this online update.
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Extract
Essentials
Introduction
Coronary heart disease is common and lethal (Tables 16.13.8.1 and 16.13.8.2). In developed countries, heart attacks account for about one-quarter of all deaths. Death is often sudden. These facts are well known and have a profound influence on attitudes towards the victims of heart disease. Employers are reluctant to take back people who have lost time off work as a result of a heart problem. Spouses become overprotective. The survivors are acutely aware that they have received an intimation of their mortality; some fail to cope. The first manifestation of coronary heart disease, which is usually chest pain, prompts re-evaluation of the remainder of life and work. The spectre of cardiac pain and death hangs over many a middle-aged man, including employers, politicians, public health physicians, journalists, and others in positions of influence. In most developed countries there is therefore public pressure to prevent the development of coronary disease (primary prevention), to prevent a recurrence (secondary prevention), and to put in place measures that will reduce the risk of harm to the individual and others in the event of sudden incapacity/death of a worker in a ‘safety-critical’ job.
Update:
This chapter has been retired and will not be updated further. The subject matter of this chapter is to be found in chapters 16.13.4, 16.13.5, ...More
Update:
This chapter has been retired and will not be updated further. The subject matter of this chapter is to be found in chapters 16.13.4, 16.13.5, 16.13.6, and 16.13.7 of this online update.
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