ABSTRACT
The aim of this work to study the professional repercussions of acute myocardial infraction and to analysis medical, social and occupational factors which could influence return to work. Our study concerns 70 patients less than 66 years old, working before their hospitalization and having been admitted for acute myocardial infraction between January 1[st], 1999 and December 31, 2000 in the Department of Cardiac Resuscitation of hospital La Rabta of Tunis. Data were collected from retrospective review of folders and answers to a questionnaire for which the patients have been summoned in 2002. There were 70 patients almost exclusively men [n=69]. The mean age was 49.0 +/- 6.8 years. The mean follow-up was 27.2 +/- 7.7 months. Sixty one patients [87.1%] have initially been back to work and eight of them lost it secondarily. The average delay of return to work has been 91 +/- 111 days. The direct repercussions of myocardial infraction on the preofessional capacities was observed at the majority of patients. Despite an important professtional repercussions of acute myocardial infraction, our study showed a high rate of return to work with relatively short delays
Subject(s)
Humans , Male , Female , Stress, Physiological , Occupational Medicine , PrognosisABSTRACT
Objectives - The aim of this work was to study the family, social and occupational repercussions of acute myocardial infarction. Material and methods - Our study concerns 70 patients less than 66 years old, working before their hospitalization and having been admitted for acute myocardial infarction between January 1-st, 1999 and December 31, 2000 in the Department of Cardiac Resuscitation of hospital La Rabta of Tunis. Data were collected from retrospective review of folders and answers to a questionnaire. Results - There were 70 patients almost exclusively men [n=69]. The mean age was 49.0 +/- 6.8 years. The mean follow-up was 27.2 +/- 7.7 months. After the infarction, the majority of patients modified their activities [75.7%] notably their leisure activities [37.1%] and their travels [25.7%]. Myocardial infarction had a bring about a bother in current life to 50.0% of the patients, had an influence on emotional life of 41.4% and on sexual activities of 50.0% of the population. The direct repercussions of myocardial infarction on the professional capacities was observed in the majority of the patients. The average delay of return to work has been 91 +/- 111 days. Conclusion - fight against the isolation of the patient and its exclusion by an adequate and early psychological coverage is the best way to assure the return in a normal family and professional life
Subject(s)
Humans , Male , Female , Stress, Physiological , Prospective Studies , Prognosis , Occupational Medicine , WorkABSTRACT
Hydatic pulmonary embolism complication of a cardiac hydatic cyst:a case report Hydatic cardiac cyst is a rare condition and represents only 0.5 to 2% oF all visceral localisations of the hydatid disease. We reported a 28 year old patient with a multiple hydatic pulmonary embolism caused by the rupture of a hydatic cyst of the interventricular septum. The diagnosis was established by transthoracic echocardio-graphy and CT Scan. Surgery was performed without delay and the outcome was good after a five month follow-up This case illustrates the diagnostic value of the non invasive imaging means in hydatic cyst of the heart and underlines the importance of surgery realized before complications occur