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

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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

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