2018
DOI: 10.1136/heartjnl-2018-313053
|View full text |Cite
|
Sign up to set email alerts
|

The challenge of asymptomatic coronary artery disease in aircrew; detecting plaque before the accident

Abstract: Coronary events remain a major cause of sudden incapacitation, including death, in both the general population and among aviation personnel, and are an ongoing threat to flight safety and operations. The presentation is often unheralded, especially in younger adults, and is often due to rupture of a previously non-obstructive coronary atheromatous plaque. The challenge for aeromedical practitioners is to identify individuals at increased risk for such events. This paper presents the NATO Cardiology Working Gro… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
1
1
1
1

Citation Types

0
24
0

Year Published

2018
2018
2024
2024

Publication Types

Select...
7
1

Relationship

1
7

Authors

Journals

citations
Cited by 25 publications
(24 citation statements)
references
References 49 publications
0
24
0
Order By: Relevance
“…12 Cardiovascular screening in safety sensitive occupations may be divided into initial screening and enhanced screening. 56 Initial screening often includes the use of risk assessment calculators, a standard 12-lead, or exercise, electrocardiogram, and screening bloods. Enhanced screening may include coronary artery calcium scoring and, increasingly coronary CT angiography (CTA).…”
Section: Occupational Medicine: Legal/ethical Considerationsmentioning
confidence: 99%
See 2 more Smart Citations
“…12 Cardiovascular screening in safety sensitive occupations may be divided into initial screening and enhanced screening. 56 Initial screening often includes the use of risk assessment calculators, a standard 12-lead, or exercise, electrocardiogram, and screening bloods. Enhanced screening may include coronary artery calcium scoring and, increasingly coronary CT angiography (CTA).…”
Section: Occupational Medicine: Legal/ethical Considerationsmentioning
confidence: 99%
“…For this reason, the Exercise ECG should be discouraged as a stand-alone tool to determine significant CAD in those who undertake safety sensitive employment. 56…”
Section: Exercise Ecgmentioning
confidence: 99%
See 1 more Smart Citation
“…Subjects at increased risk should go through enhanced screening with cardiac CT. Lastly, if the enhanced screening indicates high risk, second line investigations including functional ischaemia testing and potentially invasive coronary angiography, follow. The aircrew recommendation also states that ExECG may be added after performing the cardiac CT, but that it is discouraged as a sole screening tool for CAD [100]. Implementing a similar model for firefighters is attractive.…”
Section: Air Crewmentioning
confidence: 99%
“…This manuscript describes the current medical regulatory framework for aircrew; aircrew roles in the civil and military aviation profession; the types of aircraft and aviation environment that must be understood when managing aircrew with CVD; the regulatory bodies involved in aircrew licensing and the risk assessment processes that are used in aviation medicine to determine the suitability of aircrew to fly with medical (and specifically cardiovascular) disease; and the ethical, occupational and clinical tensions that exist when managing patients with CVD who are also professional aircrew. It serves as an introduction to the subsequent papers on risk assessment of aircrew, 10 screening of aircrew 11 and specific articles that address coronary artery disease (both pre- and post-intervention), 12 13 electrical abnormalities of the heart, 14 valvular disease, 15 heart muscle disease, 16 congenital heart disease 17 and cardiac intervention 18 in aircrew. This article does not address cabin crew or passengers.…”
Section: Introductionmentioning
confidence: 99%