Wigle R D, Symington D C, Lewis M, Connell W F, Parker J O
Can Med Assoc J. 1971 Feb 6;104(3):210-2.
One hundred and twelve patients who were 64 years of age or younger and who were employed at the time of their first myocardial infarction were studied to determine the vocational end-result following myocardial infarction. Ninety-seven patients were available for followup: 70 had resumed previous employment, nine were in physically less demanding work, seven were working part-time and 11 were unemployed. Four of the last group had adequate grounds for retirement, but seven were unemployed without adequate medical reasons. Poor medical advice and readily obtainable disability pensions appear to be the major factors responsible for unnecessary unemployment. It is apparent that expert cardiac evaluation followed by vocational assessment and assistance is required before classifying any patient as permanently unemployable.
对112名年龄在64岁及以下、首次心肌梗死发作时仍在职的患者进行了研究，以确定心肌梗死后的职业最终结果。97名患者可供随访：70人恢复了先前的工作，9人从事体力要求较低的工作，7人从事兼职工作，11人失业。最后一组中有4人有充分的退休理由，但7人失业却没有充分的医疗原因。糟糕的医疗建议和容易获得的残疾抚恤金似乎是导致不必要失业的主要因素。显然，在将任何患者归类为永久无法就业之前，需要进行专业的心脏评估，随后进行职业评估和援助。
