Tamirisa Kamala P, Alasnag Mirvat, Calvert Peter, Islam Sabrina, Bhardwaj Anju, Pakanati Keerthana, Zieroth Shelley, Razminia Mansour, Dalal Aarti S, Mamas Mamas, Russo Andrea M, Kort Smadar
Texas Cardiac Arrhythmia Institute, Austin, Texas, USA.
Cardiac Center, King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia.
JACC Adv. 2024 Feb 29;3(4):100863. doi: 10.1016/j.jacadv.2024.100863. eCollection 2024 Apr.
Exposure to ionizing radiation is an inherent occupational health hazard in clinical cardiology. Health risks have been reported previously, including predilection to cancer. In addition, orthopedic injury due to prolonged wearing of heavy protective lead aprons, which are mandatory to reduce radiation risk, have been extensively documented. Cardiology as a specialty has grown with rising volumes of increasingly complex procedures. This includes electrophysiological, coronary, and structural intervention, advanced heart failure/transplant management, and diagnostic imaging. Both the operator as well imaging specialists are exposed to radiation, particularly in structural interventions where interventional cardiologists and structural imagers work closely. Increasingly, women interested in cardiology may deselect the field due to radiation concerns. This expert document highlights the risks of radiation exposure in cardiology, including practical tips within various subspecialty fields such as interventional/structural cardiology, electrophysiology, imaging, advanced heart failure, and pediatric cardiology.
在临床心脏病学中，接触电离辐射是一种固有的职业健康危害。此前已有健康风险的报道，包括患癌倾向。此外，为降低辐射风险而必须长时间穿着的厚重防护铅围裙导致的骨科损伤也有大量记录。随着越来越复杂的手术量不断增加，心脏病学作为一个专业领域也在不断发展。这包括电生理、冠状动脉和结构性介入、晚期心力衰竭/移植管理以及诊断成像。操作人员和影像专家都暴露于辐射中，尤其是在结构性介入手术中，介入心脏病学家和结构成像专家密切合作。越来越多对心脏病学感兴趣的女性可能会因为辐射问题而选择不进入该领域。这份专家文件强调了心脏病学中辐射暴露的风险，包括在介入/结构性心脏病学、电生理学、成像、晚期心力衰竭和儿科心脏病学等各个亚专业领域的实用建议。
