Alessio L, Dei Cas L
Cattedra, U.O. di Medicina del Lavoro, Università, Spedali Civili di Brescia, P.le Spedali Civili 1, 25123 Brescia.
Med Lav. 2004 Mar-Apr;95(2):98-103.
The cardiovascular system can be the target organ of various occupational risk factors. Moreover, cardiovascular diseases of non-occupational origin may be aggravated and/or triggered by working activity.
To review the importance of cooperation between cardiologists and occupational health physicians, both in making an aetiological diagnosis and in job fitness evaluation.
A review of the literature was carried out.
An early aetiological diagnosis allows therapy to be started, timely transfer of workers from the jobs involving risk and application for insurance compensation commensurate with the degree of impairment. The identification of a single worker with occupational cardiovascular disease may represent a "sentinel event" which will permit identification of other workers at risk and other subjects with occupational diseases. Specific job fitness assessment is the final act of risk evaluation and health surveillance. The principal aim is to protect the physical and psychological health status of the worker in relation to his job and to employ him in a job that takes account of his skills. A correct specific job fitness assessment is particularly important when the cardiologist and the occupational health physician work in close cooperation in the rehabilitation and occupational reintegration of the cardiopathic worker.
心血管系统可能是各种职业风险因素的靶器官。此外，非职业性起源的心血管疾病可能因工作活动而加重和/或引发。
综述心脏病专家和职业健康医生在病因诊断和工作适应性评估方面合作的重要性。
进行文献综述。
早期病因诊断有助于开始治疗、及时将工人从有风险的工作岗位上转移出来，并申请与损伤程度相称的保险赔偿。识别出一名患有职业性心血管疾病的工人可能代表一个“哨兵事件”，这将有助于识别其他有风险的工人和其他患有职业病的人。特定的工作适应性评估是风险评估和健康监测的最后一步。主要目的是保护工人相对于其工作的身心健康状况，并根据其技能为其安排工作。当心脏病专家和职业健康医生在心脏病患者的康复和职业重新融入方面密切合作时，正确的特定工作适应性评估尤为重要。
