UNUD Open Repository

UNUD Open Repository provides access and discovery to the University of Udayana publications and digital collections. It contains digitized and digital version of theses, dissertations, research reports, and articles produced by academic communities in this university.

Excessive Cardiovascular Risk and Cardiac Investigations in Asymptomatic Population: A Study in Airline Pilots

dr. I MD. ADY WIRAWAN, S.Ked., MPH, Ph.D, I MD. ADY WIRAWAN (2012) Excessive Cardiovascular Risk and Cardiac Investigations in Asymptomatic Population: A Study in Airline Pilots. Heart, Lung and Circulation, 21, Vo. ISSN 1443-9506

[img] Archive
13b3bcf51e06a40bd8b920fb3e9101d4.pdf

Download (61kB)

Abstract

Background: Accurate risk assessment for cardiovascular diseases (CVD) in airline pilots is a particular challenge as the consequence of inaccurate assessment can be either unnecessary loss of license, or sudden in-flight incapacitation. This study examined the current practice of risk assessment in airline pilots with an initial excessive CVD risk score. Methods:Across-sectional studywas performedamong 856 pilots employed in an Oceania based airline. A retrospective review of cardiovascular investigations was conducted among pilots with an initial CVD five-year risk score of ≥10%. Results: There were 29 (3.5%) pilots found to have a five-year CVD risk score of ≥10% who underwent further investigation. In most cases (n = 26) pilots underwent an exercise stress test. Seven of these showed a positive or borderline result. One of these patients had a nuclear scan suggesting normal coronary perfusion and was not investigated further. The remaining six plus two symptomatic patients and one patient with a negative exercise stress test but abnormal resting ECG underwent coronary angiography. Angiographic findings are summarised in Table 1. Conclusion: The ability to identify significant CVD in pilots remains challenging, and it is possible that better tools exist to address this task than exercise stress tests for pilots with high-risk scores. Despite this, the current system did identify four pilots with significant coronary lesions.

Item Type: Article
Uncontrolled Keywords: cardiovascular epidemiology, cardiovascular risk, asymptomatic
Subjects: L Education > L Education (General)
Divisions: Faculty of Law, Arts and Social Sciences > School of Education
Depositing User: Mr. Repository Admin
Date Deposited: 07 Jun 2016 21:58
Last Modified: 21 Jun 2016 05:58
URI: http://erepo.unud.ac.id/id/eprint/7934

Actions (login required)

View Item View Item