Occupational Cardiology: A Paradigm Shift for Clinical Practice


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TABLE OF CONTENTS
(please note that this section is under construction as of September, 2002)

  1. INTRODUCTION
  2. A PROPOSAL FOR AN AGENDA FOR OCCUPATIONAL CARDIOLOGY: HOW DO WE MOVE FROM EPIDEMIOLOGICAL EVIDENCE TO PREVENTION-ORIENTED CLINCAL PRACTICE?
  3. How to take an Occupational History relevant to the Cardiovascular System with Clinical Examples of How This Can Facilitate an Integrated Occupational Cardiologic Approach to Patients (UNDER CONSTRUCTION)
  4. THE CONCEPT OF OCCUPATIONAL SENTINEL HEALTH EVENTS AS IT RELATES TO THE CARDIOVASCULAR SYSTEM
  5. An In-Depth Review of the Epidemiological Evidence With Respect to Workplace Factors and Cardiovascular Disease, With Particular Attention to the Methodological Quality-Validity of the Data. (UNDER CONSTRUCTION)
  6. ECONEUROCARDIOLOGY: A REVIEW OF THE BIOLOGICAL PLAUSIBILITY OF THE ENVIRONMENT-BRAIN-HEART CONNECTION
  7. WORKSITE ASSESSMENT OF CARDIOVASCULAR FUNCTION: AMBULATORY MONITORING AND OTHER TECHNIQUES (POINT ESTIMATES)
  8. Laboratory Evaluation of Cardiovascular Function as Relevant to the Workplace (UNDER CONSTRUCTION)
  9. PRELIMINARY ALGORITHMS / APPROACH TO THE DIAGNOSIS AND MANAGEMENT OF WORK-RELATED HYPERTENSION AND RELEVANT CARDIOVASCULAR DISEASES AND PRE-PATHOLOGIC CONDITIONS
  10. AN OCCUPATIONAL CARDIOLOGIC APPROACH TO JOBS IN WHICH PUBLIC SAFETY COULD BE COMPROMISED BY SUDDEN ONSET OF CARDIOVASCULAR INCAPACITATION OR LOSS OF CONSCIOUSNESS, AND WHICH ALSO ENTAIL A HEAVY EXPOSURE TO CARDIONOXIOUS WORKPLACE FACTORS
  11. Clinical Examples of an Integrated Occupational Cardiologic Approach to Patients (UNDER CONSTRUCTION)
  12. Promoting Cooperation with Other Key Participants such as Occupational Health Psychologists and other Occupational Health Specialists and Epidemiologists, as well as Labor and Management (UNDER CONSTRUCTION)
    a) The Occupational Health Psychologist and Cardiologist in developing strategies in work-related issues, e.g. Return to Work of patients after cardiac events
    b) Need to expand the authority of the clinician, whose interest is first and foremost the well-being of his or her patients, can represent a stabilizing force, promoting cooperation among the various participants in the work process (e.g. labor, management, occupational hygienists, engineers, economists). (Fisher 2000, p. 250)
    c) Occupational Cardiology in a primary care setting: A public health approach
  13. A BROADER PUBLIC HEALTH CONTEXT
  14. INTERSECTORIAL WORK: HOW TO DEFINE AND CREATE A "HEALTHY HEART" WORK ENVIRONMENT FOR ALL WORKING PEOPLE


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