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2.
Circ Cardiovasc Interv ; 14(6): e009950, 2021 06.
Article in English | MEDLINE | ID: mdl-34092098

ABSTRACT

Optimal treatment of stable ischemic heart disease for those in the transportation industry is considered in the context of the individual's health, as well as with the perspective that sudden impairment could have catastrophic consequences for others. This article focuses on two high risk occupations that one may encounter in practice: commercial motor vehicle drivers and commercial pilots. This article discusses coronary heart disease in patients in high risk occupations and covers current guideline recommendations for screening, treatment, and secondary prevention. The importance of the complimentary perspectives of the regulatory agency, medical examiners, physicians, and pilot or driver are considered in this narrative review, as are considerations for future guideline updates.


Subject(s)
Automobile Driving , Coronary Artery Disease , Pilots , Coronary Artery Disease/diagnosis , Coronary Artery Disease/epidemiology , Coronary Artery Disease/therapy , Humans , Mass Screening , Occupations
3.
JACC Case Rep ; 2(10): 1637-1641, 2020 Aug.
Article in English | MEDLINE | ID: mdl-32839759

ABSTRACT

Mechanical complications of acute myocardial infarction are infrequent in the modern era of primary percutaneous coronary intervention, but they are associated with high mortality rates. Papillary muscle rupture with acute severe mitral regurgitation is one such life-threatening complication that requires early detection and urgent surgical intervention. (Level of Difficulty: Beginner.).

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